19 results
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Endoscopy 87 year old ... Upper #Endoscopy #EGD ... #gastroenterology ... #clinical
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and IBD ... Colonoscopy +/- EGD ... Remission > 12mo - Indication ... algorithm #management #gastroenterology ... #indications
Trichobezoar on Endoscopy
13 years old.  Vomiting since 1 year with hair loss and abdominal lump.
Endoscopy 13 years old ... bezoar #Endoscopy #EGD ... #clinical #gastroenterology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Ova and Parasite evaluation ... Adjust IS medications ... Colonoscopy +/- EGD ... PTLD, GVHD or IBD
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
progression to end-stage ... there are many indications ... use of ERCP, and end-stage ... remain subject to clinical ... trial evaluation
Gonococcal Ophthalmia Neonatorum (GON) - Figure 1

A 4-day-old girl was brought to the emergency department (ED)
Figure 1 A 4-day-old ... emergency department (ED ... ) for evaluation ... #Clinical #Photo
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
Autoimmune Hepatitis Clinical ... Highly variable clinical ... Management - Strong indications ... Necrosis) If mild ... laboratory, clinical
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Approach (when evaluation ... risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... Differential #Diagnosis #indications
Rockwood Clinical Frailty Score

There is no single generally accepted clinical definition of frailty. Previously developed tools
Rockwood Clinical ... generally accepted clinical ... heavy housework, medications ... Typically, mild ... Terminally Ill -
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... total body stores Evaluation ... PBS - anemia, mild