Endoscopy Simulator

Thought I’d share a photo of my residency program’s GI endoscopy simulator!  Earlier today, I had fun testing out some of the EGD and Colonoscopy scenarios on this machine.  Once a month, our program allows for “Simulation (sim) Lab.”  Essentially, it’s an hour-long block wherein residents practice code blue 90’s, rapid responses, central line insertions, and even practice with the simulator. Interestingly, not only does … Continue reading Endoscopy Simulator

Acute and Chronic Pancreatitis

In this section, I’ll outline important facts about Acute Pancreatitis and Chronic Pancreatitis that most residents and hospitalists should be aware of.     Acute Pancreatitis Hospitalists, listen up!  This is the #1 GI cause of hospitalization in the States. Clinically: c/c severe epigastric pain 80% are classified as “Mild Pancreatitis” Recovery within few days 20% are classified as either Moderate or Severe Moderate:  pancreatic … Continue reading Acute and Chronic Pancreatitis

Stomach and Duodenal Disease

The stomach and duodenum comprise two well elucidated, critical organs in the digestive process.  I will review Peptic Ulcer Disease, Dyspepsia, H. pylori, gastroparesis, and other similar pathology in this post.     Peptic Ulcer Disease (PUD) Clinically: Typical symptoms = epigastric pain; eating may either hurt/help the pain, early satiety, nausea, bloating, nocturnal pain (suggesting duodenal ulcer). Diagnosis: Upper endoscopy (EGD) is gold standard Mucosal breakdown 5mm … Continue reading Stomach and Duodenal Disease

Esophageal Metaplasia and Neoplasia

Esophageal cancer accounts for a jaw-dropping amount of cancer-related deaths, and is now classified as the 6th-highest cause of death in this group.  In this installment of the study guide series, I will discuss Barrett Esophagus (I learned this entity as Barrett Metaplasia) and esophageal cancer (neoplasia).   Barrett Metaplasia Metaplasia:  columnar epithelium replaces the physiologic squamous epithelium in the distal portion of the food pipe. PRE-MALIGNANT CONDITION … Continue reading Esophageal Metaplasia and Neoplasia

Gastroesophageal Reflux Disease (GERD)

GERD is incredibly common, with an estimated prevalence of 10-20% in the Western hemisphere.  It’s important to note that GERD has many overlap symptoms with cardiac chest pain, thus cardiovascular causes should be ruled out first before the diagnosis of GERD.   GERD Clinically Insomnia/poor sleep quality, diminished work output Typical heartburn, liquid regurgitation with resultant metallic or acidic quality Alarm symptoms:  dysphagia (r/o malignancy, ring, web), weight … Continue reading Gastroesophageal Reflux Disease (GERD)