13 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... Activity: Colonoscopy ... +/- EGD, Small ... → Optimize Therapy ... #gastroenterology
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
Salmonella • Colon ... • Colon inflammation ... NSAIDS, immuno-therapy ... #differential #diagnosis ... #gastroenterology
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
pylori) Infection - Diagnosis ... and Management ... / Peptic Ulcer Disease ... Test or repeat EGD ... quadrupletherapy #gastroenterology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Colonoscopy +/- ... EGD *Especially ... PTLD, GVHD or IBD ... Empiric therapy ... Algorithm #Transplant #diagnosis
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
asymptomatic at diagnosis ... liver disease management ... Therapy with UDCA ... #Cholangitis #diagnosis ... #management #summary
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux Disease ... Summary GERD: Diagnosis ... Failure of optimal therapy ... #diagnosis #management ... #Gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
stroke, Parkinson disease ... structural disorder → EGD ... adjustment and speech therapy ... • Therapy for ... #Management #gastroenterology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
• Towards the end ... Differential Diagnosis ... Avoid ARBs • ICD ... deteriorating on medical therapy ... investigative therapy
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
procedures (eg, ... colonoscopy), induction ... Treatment • Operable disease ... pheochromocytoma: primary therapy ... pheochromocytoma: MIBG therapy
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... congenital heart disease ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology ... #Management