21 results
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
Colonoscopy Followup ... years: Normal colonoscopy ... , Adenoma with villous ... serrated polyps #Colonoscopy
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea - Workup ... intolerance suspected, Colonoscopy ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy ... Chronic #Diarrhea #Workup
Bullous Myringitis on Otoscopic Examination

Normal tympanic membrane...ABNORMAL tympanic membrane! 
Treatment? Treat like any other otitis media
Bullous Myringitis ... @DrSarahEM #Bullous ... Clinical #Photo #OtitisMedia
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... Colonoscopy +/- ... #Diarrhea #Workup
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
occult blood - Colonoscopy ... management #algorithm #workup
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Framework and Workup ... laxative abuse - Villous ... Differential #Diagnosis #Workup
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Diagnosis and Workup ... risk • Routine colonoscopy ... Syndrome #Diagnosis #workup
A “villous dance show” in the terminal ileum.  Visualization of villi in the terminal ileum
A “villous dance ... High-Definition colonoscopy ... #ileum #villi #colonoscopy
A “villous dance show” in the terminal ileum.  Visualization of villi in the terminal ileum
A “villous dance ... High-Definition colonoscopy ... #ileum #villi #colonoscopy
Polyp Incidence on Colonoscopy
Tubular adenoma - 47.2%
Hyperplastic polyp - 16.0%
Tubulovillous adenoma - 17.6%
Normal - 5.6%
Inflammatory polyp
Polyp Incidence on Colonoscopy ... adenoma - 0.4% Villous ... Polyps #Incidence #Colonoscopy