Category: GI

Clinical Correlations


Core IM Hoofbeats Part 2: 85F with Acute AMS

By John Hwang MD, Cindy Fang MD, Neil Shapiro MD, Marty Fried MD || Illustration by Michael Shen MD || Audio Editing by Richard Chen ||

Time stamps

  1. Your collective differential [0:40]
  2. The test results (that you asked for) are in… [2:13]
  3. The hospital course, and the diagnosis (or is it?) [7:10]
  4. Validating a diagnosis: Base rate, adequacy, and coherence [8:30]
  5. Revisiting the differential [14:44]
  6. What to do when there is no final diagnosis?

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Is There Really a Link between Asthma and Reflux?

By Scott Statman, MD

Peer Reviewed

There is little doubt that an association between asthma and gastroesophageal reflux disease (GERD) exists. However clinicians have debated the nature of this relationship for decades. Asthma and GERD are among the most common disorders encountered by physicians, with prevalence in the general population estimated at 8%1 and 10 to 20%2 respectively.…

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Optimism

Glass-of-waterBy Adam Blaisdell

Peer Reviewed

Present Day – The patient is a 61 year-old male who presents with a one-week history of jaundice and intense pruritus. He has a medical history significant for hepatitis C virus (HCV) infection (genotype 1a) diagnosed 15 years ago, which was never treated.…

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PTH versus PTHrP — Small Differences, Big Implications

GI

Thyroid_anatSamantha Kass Newman, MD

Peer Reviewed 

A 48-year-old depressed male smoker with a bit of an alcohol problem presents to the emergency department with worsening fatigue, severe lower back pain, constipation, abdominal pain, and 4 days of coffee ground emesis.

This could be anything.…

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Are We Overusing Proton Pump Inhibitors?

File:Nexium (esomeprazole magnesium) pills.JPGBy Shimwoo Lee
Peer Reviewed
Case: A 31-year-old man with poorly controlled type 2 diabetes was hospitalized for community-acquired pneumonia. His home medications included esomeprazole. When asked why he was receiving this medication, the patient said it was first started during his prior hospitalization for “ulcer prevention” eight months ago and that he had continued to take it since.…

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