A 38-year-old woman presents with hematemesis. Upper endoscopy reveals a duodenal ulcer with an actively spurting vessel. Hemostasis is achieved with injection of epinephrine followed by thermal coagulation. She also has several other non-bleeding shallow ulcers in other portions of the duodenum. Biopsies are negative for H pylori. This has been her third presentation of an upper GI bleed secondary to duodenal ulcers in the past 2 years. She complains of intermittent diarrhea and has unintentionally lost 5 lb over the past month.
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Eosinophilic esophagitis is often misdiagnosed as gastroesophageal reflux disease but does not respond to acid suppression therapy. Here, a close-to-text-book case.
A 72-year-old female presents to the ED with fatigue, weakness, and palpitations. Her potassium level is 6.1 mEq/L, with a serum creatinine level of 1.9 mg/dL. What is the problem?
A 59-year-old woman with a history of peptic ulcer disease (PUD) was seen in a clinic with complaints of pain in the epigastrium of several days’ duration.
Has this teen been abused? Cast your votes and see if you’ve answered this and the 4 other questions in this week’s quiz correctly.
Recurrent C difficile requires pulse vancomycin therapy; fecal microbiota transplant shows promise.
The goals of therapy for patients with inflammatory bowel disorder include inducing and maintaining a steroid-free remission, preventing and treating the complications of the disease, minimizing treatment toxicity, achieving mucosal healing, and enhancing quality of life.
(AUDIO) There are disparities in the sensitivities and specificities of glucose and lactose hydrogen breath tests used to diagnose small intestine bacterial overgrowth and to distinguish patients with irritable bowel syndrome from healthy individuals. Just how useful are these tests? Insights from an expert here.
(AUDIO) Here, Christina Surawicz, MD, describes an organized approach to the evaluation and management of patients with chronic diarrhea.