21 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
non-ICU vs ICU causes ... Hyperbilirubinemia #direct #bilirubin ... Diagnosis #Algorithm #gastroenterology ... #hepatology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
- History of bleeding ... epistaxis, gingival bleeding ... l MD SOAP) - Risks ... or if a primary hematologic ... #Workup #hematology
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
scores for stroke risk ... and bleed risk ... Liver (cirrhosis, bilirubin ... S Stroke 1 B Bleeding ... AFib #Diagnosis #Hematology
Inherited Non-hemolytic Disorders of Hyperbilirubinemia 

== Disorders of Conjugation ==
Gilbert Syndrome:
 • 5-10% of the population
birth with serum bilirubin ... associated with bilirubin ... and stress may cause ... #hepatology #diagnosis ... #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... hematochezia if the bleeding ... units) • Notable risk ... versus #diagnosis #gastroenterology
Tranexamic Acid - Indications and Pharmacology
Pharmacokinetics:
 • MOA: Inhibits plasminogen activation to plasmin & inhibits fibrinolysis
: Urine Common Uses ... Hemoptysis, GI Bleeding ... rapid injection; Nausea ... fatigue; Increases risk ... #Pharmacology #hematology
Stool Cultures - Indications in Diarrhea
Patient Categories to Order Stool Cultures On:
 • Persisting 1 week
illness (diarrhea leading ... hospitalization) • High risk ... Few infectious causes ... Indications #diagnosis #gastroenterology
Hydroxychloroquine - Risks and Benefits in Lupus
Benefits:
↓ Disease activity, ↓ Flare, ↓ Damage, ↓ Corticosteroid dose,
Hydroxychloroquine - Risks ... Cardiovascular risk ... other medications leading ... rare with ~100 cases ... #sideeffects #rheumatology
Hemophilia - Diagnosis and Management
Diagnosis:
 • Consistent bleeding history (unless screening for disease in family members
• Consistent bleeding ... normal in mild cases ... Treatment - Acute Bleeding ... risk ... Management #treatment #hematology
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Rifaximin- up to 3 courses ... cardiovascular risk ... TinaPhamHang via Emory Gastroenterology ... and Hepatology ... Syndrome #Management #gastroenterology