32 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
Gastroesophageal Reflux Disease ... Issues Diagnosis Algorithm ... Refractory GERD ... #Treatment #Algorithm ... #Gastroenterology
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... manifestation in 10% • refractory ... #gastroenterology ... #management #treatment
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... Ascites Ascites Workup ... Algorithm Ascites ... Management Refractory ... #gastroenterology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... Check pregnancy test ... affects diagnostic workup ... choices AND management ... #Workup #Endocrinology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Test for celiac ... disease with serology ... change medical management ... Gastrointestinal #Evaluation #workup ... #diagnosis #gastroenterology
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Esophageal Crohn's Disease ... Management Algorithm ... Mitomycin C • Refractory ... #Management #Algorithm ... #treatment #IBD
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Diagnosis and Workup ... cultures, but test ... Rule out celiac disease ... Disorder &/or Refractory ... #gastroenterology
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic ... Esophagitis (EOE) Management ... Algorithm Initial ... #EoE #Refractory ... #Algorithm #gastroenterology
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Drug Adherence • Disease ... JAK Inhibitor Algorithm ... Persistent #5ASA #Refractory ... #Treatment #Management ... #Algorithm
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... In short, best outcomes ... continues, the more refractory ... #Management #Neurology ... #Seizures #Algorithm