33 results
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Diagnosis and Management ... Gastroesophageal Reflux Disease ... Presentation Medical ... Gastroesophageal #Reflux #Disease ... Treatment #Algorithm #Gastroenterology
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Hypertension (CTEPH ... arteriopathy with • Medial ... procedure: • Median ... have inoperable disease ... Thromboendarterectomy #diagnosis #management
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
to chronic lung disease ... • Hypoxia • Pulmonary ... hypertension ... Management • Oxygen ... Diagnosis #ECG #EKG #Management
Extraintestinal manifestations of Crohn’s disease
Dermatological: Aphthous stomatitis, Erythema nodosum, Psoriasis, Pyoderma gangrenosum
Vascular: Portal hypertension, Thromboembolism, Thrombosis,
manifestations of Crohn’s disease ... Vascular: Portal hypertension ... Thromboembolism, Thrombosis, Pulmonary ... Metabolic bone disease ... IBD #diagnosis #gastroenterology
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Perianal Crohn's Disease ... refractory to medical ... Perianal #Crohns #Disease ... IBD #Algorithm #gastroenterology ... #management #treatment
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Thromboembolic Disease ... • Assess for Pulmonary ... Operability → Pulmonary ... • Targeted Medical ... karanpdesai #cteph #management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary ... (chronic lung disease ... , left heart disease ... who respond to medical ... #diagnosis #management
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... involving RV, Pulmonary ... Concomitant Pericardial Disease ... rightventricular #cardiology #management
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Diagnosis and Management ... temperature >40C), mental ... may present with pulmonary ... Treatment • Operable disease ... : Management consists
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... control with early Afib ... (< 5% pts with afibb ... #Fibrillation #AFib ... #diagnosis #management