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Management of Benign Anorectal Disorders

Dyssnergic Defecation (DD)
Proctalgia Syndromes
Anal Fissures
Hemorrhoids
Fecal Incontinence

By Cynthia Tran, MD @EmoryGastroHep

#Anorectal #Disorders #Management
Management of Benign ... Anorectal #Disorders #Management ... #Benign #Gastroenterology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Unknown nature & benign ... 6mm); • Light-near ... - no light-near ... #PhysicalExam #neurology
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Diagnosis and Management ... presentation • Lyme Serology ... delayed recovery Management ... Palsy #Diagnosis #Management ... #Treatment #Neurology
Colorectal Cancer Screening and Polyp Surveillance Intervals
Colon Cancer Screening - Modality - Interval:
 • Colonoscopy -
years • FIT - q1 year ... Surveillance #Intervals #management ... #gastroenterology
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
serrated adenoma 1 year ... Followup #Intervals #gastroenterology ... #guidelines #management
Management of Low Risk (Mild Severity) Crohns Disease 
Asymptomatic or Incidentally Discovered on Endoscopy 
 •
Management of Low ... 6 months for 1 year ... needed 2x in one year ... Crohns #Disease #Management ... LowRisk #Mild #Gastroenterology
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
1) 2+ flares/year ... gout #diagnosis #management ... treatment #ULT #rheumatology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
celiac disease with serology ... biopsy only if serology ... change medical management ... workup #diagnosis #gastroenterology
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
biliary strictures, Benign ... #Indications #management ... #gastroenterology
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 → Direct pressure, silver nitrate for small laceration
 → Repair with
Post-abortion Hemorrhage Management ... Fundal massage, Begin ... Critical Care team ... Postabortion #Hemorrhage #Management