Gastroenterology
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Mnemonics
Mnemonic: Complications or Pain after ‘Lap Chole’
Use 'LAP-C' to remember complications of Lap Chole !
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Clinicals
Clinical Case: A Heart-check that punched the Gut !
Acute pancreatitis after coronary angiogram is being recognized as a real complication
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Clinicals
Can IV Iron infusion give you black stools ?
Oral Iron causing black stools is logical and common knowledge, but how about IV Iron ?
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Cases
Clinical Case: One Patient, Two Anemias
A clinical case to highlight the importance of evaluating anemia causes with basic labs first
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Mnemonics
Mnemonic : Causes of Epigastric (Upper Abdominal) pain
Epigastric pain conjures up an image of a PUKING patient clutching their epigastric area...
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Tips
Iron replacement often forgotten after GI bleeds
Iron loss from bleeds is significant, while replenishment is slow.
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Quiz
Quiz : Know your B.U.N.s ?
A blood urea nitrogen (BUN) level can uncover important clues about your patient in the right context
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Clinical News
2019 GI bleed Guideline: Transfuse if HgB < 8 g/dL (7 in past)
New 2019 update from the International Consensus group
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Tips
NG v/s NJ feeds in acute pancreatitis ? NG is just fine!
Using an NJ in acute pancreatitis makes logical sense in "bypassing the pancreas" - but let's see the evidence
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Clinicals
The PPI “Rebound”: Do you warn your patient ?
Always warn your patients about this effect if they are prescribed PPIs for more than a month
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Tips
A second useful effect of Proton Pump Inhibitors
This effect isn't as well known & hence not always exploited clinically
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Tips
Help constipated patients CRAP without pills
In modern medicine it's reflexive for a provider to prescribe meds for constipation, while natural interventions are often omitted...
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Mnemonics
Causes of Bowel Obstruction : A visceral mnemonic
Have you seen Dr. Lecter's terrible evisceration scene from the Hannibal movie ?
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Basics
Unexplained new leukocytosis can be a C.Diff pre-warning
A curious thing I noticed over my hospitalist years is leukocytosis BEFORE C.Diff symptoms
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Tips
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Mnemonics
‘I’ for Intestines, ‘I’ for causes of diarrhea !
Most of the common causes of diarrhea 💩💩 conveniently begin with an 'I'
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Cases
Case: When the heart talks, are you listening ?
Sinus tachycardia can be an early SOS signal from the heart.
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Cases
