Difference between revisions of "Gastroenterology"
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=Diarrhea= | =Diarrhea= | ||
*H&P: | *H&P: | ||
− | *Dx: | + | *Dx: For chronic diarrhea, send '''stool microscopy, electrolytes, and fat content.''' |
*Tx: For acute viral gastroenteritis. Diet recommendation is '''to resume normal eating without excessive sugars''' | *Tx: For acute viral gastroenteritis. Diet recommendation is '''to resume normal eating without excessive sugars''' | ||
Revision as of 19:47, 12 January 2023
Esophageal Pathology
- H&P:
- Dx:
- Tx:
GERD
- H&P:
- Dx:
- Tx:
PUD
- H&P:
- Dx:
- Tx:
IBD
- H&P:
- Dx:
- Tx:
IBS
- H&P:
- Dx:
- Tx:
Diarrhea
- H&P:
- Dx: For chronic diarrhea, send stool microscopy, electrolytes, and fat content.
- Tx: For acute viral gastroenteritis. Diet recommendation is to resume normal eating without excessive sugars
Celiac Sprue
- H&P:
- Dx:
- Tx:
UGIB
- H&P:
- Dx:
- Tx:
LGIB
- H&P:
- Dx: Angiodysplasias (e.g. AVMs) are associated with AS, vWD, and ESRD.
- Tx:
Pancreatitis
- H&P:
- Dx: Thiazide diuretics and most loop diuretics are in important cause of drug-induced pancreatitis.
- Tx:
Approach to LFTs
- H&P:
- Dx:
- Tx:
Gallstone Disease
- H&P:
- Dx: Cholestatic pattern of elevated bilirubin and alk phos, Charcot triad for ascending cholangitis includes RUQ pain, fever, jaundice.
- Tx: For acute/ascending cholangitis, treat with ERCP within 24-48 hrs
Viral and Non-viral Hepatitis
- H&P:
- Dx:
- Tx:
Cirrhosis and Ascites
- H&P:
- Dx:
- Tx:
Acetaminophen Toxicity
- H&P:
- Dx:
- Tx:
Heredity Hemochromatosis
- H&P:
- Dx:
- Tx:
Wilson Disease
- H&P:
- Dx:
- Tx:
α1-Antitrypsin Disease
- H&P:
- Dx:
- Tx:
Autoimmune Hepatitis
- H&P:
- Dx:
- Tx:
PBC
- H&P:
- Dx:
- Tx:
PSC
- H&P:
- Dx:
- Tx:
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.