32 results
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
hydrogen breath test ... intolerance suspected, Colonoscopy ... performed, may show melanosis ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy
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
Colorectal Cancer Screening and Polyp Surveillance Intervals
Colon Cancer Screening - Modality - Interval:
 • Colonoscopy -
- Interval: • Colonoscopy ... Multitarget DNA stool test ... Surveillance #Intervals #management
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Diagnosis and Management ... Two different positive ... T. whipplei tests ... T. whipplei test ... diagnosis #algorithm #management
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Additional laboratory tests ... chronic kidney tests ... Test for celiac ... if serology is positive ... change medical management
Dengue Fever - Diagnosis and Management Summary 
Dengue Fever → Dengue Hemorrhagic Fever →Dengue Hemorrhagic Shock
Diagnosis and Management ... Rash, Vomiting, Positive ... Tourniquet test ... Treatment: Supportive Management ... Fever #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
Antibiotic Susceptibility Table for Routine Gram Positive Infections

*** AUTHOR UPDATE NOTE 3/2019: TMP/SMX should, at best,
for Routine Gram Positive ... SMX should, at best ... Infections #Coverage #Management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Breath test for ... Colonoscopy +/- ... Diarrhea #Workup #Management
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
specific, so if positive ... Check pregnancy test ... workup choices AND management