Daily Archives: June 29, 2017

Question: A 66-year-old man with cirrhosis secondary to hepatitis C (complicated with development of esophageal varices) and achalasia (diagnosed in 1980s, failed Botox injections, pneumatic dilatation, calcium channel blockers, and now status post pe… Continue reading →

Question: A 68-year-old woman presented for screening colonoscopy. She stated no fever or chills and denied any pain, including abdominal pain, overt gastrointestinal bleeding, or change in bowel habits. The patient did not have chronic medical conditi… Continue reading →

Question: An asymptomatic, 67-year-old woman was referred for esophagogastroduodenoscopy (EGD) and ileocolonoscopy in view of her diagnosis of Lynch syndrome (LS). The EGD revealed generalized erythema of the gastric mucosa and a urease test was positi… Continue reading →

Medical nutrition is an area that is underrepresented in medical school curricula and is not emphasized on national board examinations creating knowledge gaps in hospital-based practices.1 Malnutrition occurs in one-third to one-half of all adult patie… Continue reading →

I read with great interest the article by Scarpignato et al1 evaluating the efficacy of rifaximin in preventing intestinal lesions associated with nonsteroidal anti-inflammatory drugs (NSAIDs). The authors declare that rifaximin is effective in preven… Continue reading →

Question: A 55-year-old man with a history of chronic back pain decided to wean himself off of long-standing high-dose opiates. As he self-titrated down his opiate dose, he developed increasingly severe abdominal pain. To alleviate this pain, he applie… Continue reading →