9 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
100% Re-bleeding Ib ... Bleeding #Risks #Grading ... #gastroenterology ... #EGD #clinical
Choledochodudodenal Fistula on Endoscopy
Patient admitted with cholangitis, dilated CHD and IHBDs, remote cholecystectomy.  I found
resulting in partial CBD ... Fistula #Endoscopy #EGD ... #gastroenterology ... #clinical
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
ducts, commonly leading ... have concomitant IBD ... COLITIS - PSC-IBD ... distinct from IBD ... remain subject to clinical
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
Handlebar Traumatic ... No guarding/peritoneal ... is sent to CT abd ... CULLENS SIGN --> ... Trauma #Injury #clinical
Cryoglobulinemia Summary

Cryoglobulins:
 • Cryoglobulins are Igs in the serum that precipitate in vitro at temperatures below
immune system, leading ... endothelial injury and end-organ ... Purpura - Skin ulcers ... Syndrome: • Clinical
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... this requires clinical ... Eosinophilic, CVID, Hyper IgD ... #differential #gastroenterology
Ulcerative Colitis Endoscopic Index of Severity - UCEIS
Vascular pattern
   0 = normal - Normal
mucosa Erosions and ulcers ... mucosa, no visible ulcers ... Endoscopy #index #grading ... severity #diagnosis #gastroenterology ... #scoring #ibd
Diverticulitis on POCUS
55 m presents to the ED with LLQ pain...
No PMH, no meds, no prior
presents to the ED ... meds, no prior abd ... No rebound or guarding ... not worse with abd ... Diverticulitis #POCUS #clinical
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Chagas disease) Clinical ... sphincter to relax EGD ... secondary causes leading ... Three clinical features ... management #treatment #gastroenterology