"Doctor, my tummy is bloated. I think it's heartburn. It's been going on for months. What's causing it?" Good question. Let's dive in. What is dyspepsia? Upper abdominal pain or discomfort originating in the upper GI tract that is episodic or persistent and often associated with belching, bloating, heartburn, and nausea or vomiting. What is … Continue reading How do you evaluate dyspepsia?
How do you approach ischemic colitis?
A 72 y/o F being managed on the floor for sepsis due to a problematic urinary tract infection starts to complain of acute onset LUQ abdominal pain. She describes abdominal pain out of proportion to your physical exam, one that includes mild signs of distension without peritoneal signs. She now has occult blood in the … Continue reading How do you approach ischemic colitis?
How do you manage C. Difficile Infections?
Diagnosis Q. When do you suspect a Clostridium Difficile Infection (CDI)? Symptoms of unexplained and new onset ≥3 unformed stools in 24 hours plus high clinical suspicion. ex. Recent use of certain antibiotics increases risk for CDIs. https://media.giphy.com/media/lOgyStVYDNPwqoonVG/giphy.gif Q. What is the best diagnostic test/method for C Difficile? Stool toxin + NAAT; GDH + toxin … Continue reading How do you manage C. Difficile Infections?