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, […]

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 […]

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 […]

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 […]

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 […]