10 results
Ulcerative Colitis - Endoscopic Assessment of Disease Activity
UCEIS Score 0, Mayo Score 0 - Normal
UCEIS Score
- Endoscopic Assessment ... of Disease Activity ... - Spontaneous bleeding ... severity #diagnosis #gastroenterology ... UCEIS #scoring #ibd
Mayo UC Endoscopic Classification
 • Score = 0 (normal or inactive disease) - Normal vascular pattern
Mayo UC Endoscopic ... - Spontaneous bleeding ... Classification #ulcerative ... #colitis #gastroenterology ... #colonoscopy
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... are without endoscopic ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Endoscopic Findings in Active Ulcerative Colitis
 • Ulcer with spontaneous bleeding
 • Erythema
 • Mucosal scar
Endoscopic Findings ... with spontaneous bleeding ... #Colitis #UC #clinical ... #gastroenterology ... #colonoscopy
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Thiopurine Assess Disease ... Activity: Colonoscopy ... +/- EGD, Small ... ESR • Active Disease ... #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... GBS, high sens. >12 ... Infusion = 40mg IV BID ... • Start with EGD ... diagnosis #management #algorithm
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Bleed (Other than EGD ... + Colonoscopy) ... most small-bowel diseases ... bleed may obscure bleeding ... GIBleed #management #gastroenterology
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... this requires clinical ... and endoscopic ... Eosinophilic, CVID, Hyper IgD ... #differential #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... Peritoneal dialysis & colonoscopy ... congenital heart disease ... #EGD #Indications ... #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
) Clinical Presentation ... sphincter to relax EGD ... secondary causes leading ... Three clinical features ... management #treatment #gastroenterology