Daily Archives: August 1, 2019
AGA Guideline on the Laboratory Evaluation of Functional Diarrhea and Diarrhea-Predominant Irritable Bowel Syndrome in Adults (IBS-D)
An Incidentally Identified Liver Mass
Question: A 23-year-old man presented to hepatobiliary department with identification of a liver mass on a pre-employment examination. He reported no obvious symptom, but was anxious about the liver mass. Blood routine tests, hepatic and renal function… Continue reading
CME Exam 1: An Unusual Cause of Acute Pancreatitis in a Young Woman
Circumferential Ulcerations in the Ascending Colon
Question: An 85-year-old female patient with a history of chronic lumbar pain and short segment Barrett’s esophagus, was referred to our endoscopy department after a protracted episode of fatigue, which was attributed to iron deficiency anemia (hemog… Continue reading
CME Exam 2: Environmental Risk Factors for Inflammatory Bowel Diseases: An Umbrella Review of Meta-analyses
Unusual Case of Abdominal Fullness in a Middle-Aged Woman
Question: A 43-year-old woman without a past medical history presented to our hospital with abdominal fullness over the previous 2 months. On physical examination, a mild tenderness was found in the upper abdomen. Laboratory tests showed an increase in C-reactive protein (2.3 mg/dL; normal, <0.14 mg/dL) and a decrease in the albumin level (3.7 g/dL; normal range, 4.1–5.1 g/dL), but no other abnormalities were found. The patient underwent esophagogastroduodenoscopy (EGDS) because of suspected upper gastrointestinal disease. Continue reading
CME Exam 3: Right-Sided Location Not Associated With Missed Colorectal Adenomas in an Individual-Level Reanalysis of Tandem Colonoscopy Studies
Correction
Singh S, Feuerstein JD, Binion DG, et al. AGA Technical Review on the Management of Mild-to-Moderate Ulcerative Colitis. Gastroenterology 2019;156:769-808.e29 Continue reading
A Case of Episodic Abdominal Pain and Fevers
Question: A 37-year-old man from Kenya presented for evaluation of episodic abdominal pain, bloating, and fevers to 39°C. Episodes were self-limited but required hospitalization for pain control. These occurred 4 times over the course of a year, start… Continue reading
Vanderbilt University Medical Center completes acquisition of Lebanon hospital
Leaders of Vanderbilt University Medical Center today announced completion of the acquisition of Tennova Healthcare-Lebanon, a two-campus facility licensed for 245 beds, from subsidiaries of Community Health Systems, Inc. (CHS). The hospital, which is … Continue reading