1,056
edits
Changes
Jump to navigation
Jump to search
Line 1:
Line 1: + + + + + Line 54:
Line 59: − + − + Line 68:
Line 73: − + Line 116:
Line 121: − − =Missed Concepts= − *Food protein-induced allergic proctocolitis shows up at 1-4 weeks of age with blood and mucus streaked stools. Treat by eliminating dairy from the maternal diet. It is benign and self-limited. − *The shortest interval for repeat colonoscopy is for '''large adenomas (>2 cm) removed piecemeal'''. Second shortest interval is '''1 year for > 10 adenomas'''.
no edit summary
=Missed Concepts=
*Food protein-induced allergic proctocolitis shows up at 1-4 weeks of age with blood and mucus streaked stools. Treat by eliminating dairy from the maternal diet. It is benign and self-limited.
*The shortest interval for repeat colonoscopy is for '''large adenomas (>2 cm) removed piecemeal'''. Second shortest interval is '''1 year for > 10 adenomas'''.
*Initial evaluation for gastroparesis is '''EGD to evaluate for mechanical obstruction'''.
=Esophageal Pathology=
=Esophageal Pathology=
*H&P:
*H&P:
{| class="wikitable"
{| class="wikitable"
|-
|-
| rowspan="3" | Cholestasis (ALK + TBili) || rowspan="2" | No Obstruction || Hepatitis, Cirrhosis
| rowspan="3" | Cholestasis (ALK + TBili) || rowspan="2" | No Obstruction || '''Indirect''' bili: Hepatitis, Cirrhosis
|-
|-
|| PBC, Drug-induced, Post-op, Sepsis
|| '''Direct''' bili: PBC, Drug-induced, Post-op, Sepsis
|-
|-
|| Obstruction || PSC, Choledocholithiasis, Cholangiocarcinoma, Pancreatic cancer, Pancreatitis
|| Obstruction || PSC, Choledocholithiasis, Cholangiocarcinoma, Pancreatic cancer, Pancreatitis
==Gallstone Disease==
==Gallstone Disease==
*H&P:
*H&P: Female, Fat, Forty, Fair, Fertile
*Dx: Cholestatic pattern of '''elevated bilirubin and alk phos''', Charcot triad for '''ascending cholangitis includes RUQ pain, fever, jaundice'''. When clinical suspicion for acute cholecystitis is high, but US is negative or inconclusive, '''get HIDA scan.'''
*Dx: Cholestatic pattern of '''elevated bilirubin and alk phos''', Charcot triad for '''ascending cholangitis includes RUQ pain, fever, jaundice'''. When clinical suspicion for acute cholecystitis is high, but US is negative or inconclusive, '''get HIDA scan.'''
*Tx: For acute/ascending cholangitis, treat with '''ERCP within 24-48 hrs'''
*Tx: For acute/ascending cholangitis, treat with '''ERCP within 24-48 hrs'''
*Dx: Elevated ALK + bili; '''ANA, anti smooth muscle, and anti pANCA''' antibodies; bile duct dilation on imaging
*Dx: Elevated ALK + bili; '''ANA, anti smooth muscle, and anti pANCA''' antibodies; bile duct dilation on imaging
*Tx: Ursodeoxycholic acid, cholestyramine, fat-soluble vitamins; transplant '''frequently''' required
*Tx: Ursodeoxycholic acid, cholestyramine, fat-soluble vitamins; transplant '''frequently''' required