22 results
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
intolerance suspected, Colonoscopy ... performed, may show melanosis ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy ... Workup #diagnosis #differential
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
EGD and Biopsy Differential ... : Melanosis, Melanoma ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Approaching a Difficult Colonoscopy ... rate • Fewer position ... Water assisted colonoscopy ... time • Less position ... Endoscopy #diagnosis #management
Cold Snare Polypectomy - Tips and Tricks
 - Before initiating cold snare polypectomy, it is important
fold and in the management ... polyp in an ideal position ... to 7 0' clock positions ... channel of the colonoscope ... #Tips #Tricks#management
Hypotension in Anesthesiology - Differential Diagnosis and Management 

Initial checklist: 
 - Verify BP (e.g. surgeon
Anesthesiology - Differential ... Diagnosis and Management ... Head down position ... Anesthesiology #Differential ... #Diagnosis #Management
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management

Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
Tachycardia (SVT) - Differential ... Framework and Management ... variable block MANAGEMENT ... semi-recumbent position ... Tachycardia #SVT #Differential
Warm Antibody Autoimmune Hemolytic Anemia 
1) DIAGNOSE AIHA
 • Anemia: macrocytic > normocytic, ↑ reticulocytes
 •
autoantibodies: positive ... • Blood smear: Differential ... → schizocytes, Positive ... Anemia #diagnosis #management
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
occult blood - Colonoscopy ... Chronic #Diarrhea #management ... workup #diagnosis #differential
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Colonoscopy +/- ... Diarrhea #Workup #Management ... Transplant #diagnosis #differential
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... Diagnosis and Management ... Positive deflection ... #Tachycardia #Differential ... #Diagnosis #Management