Posts filtered by tags: Gastroenterology[x]


 

39-year-old woman with fatigue, intermittent rectal bleeding, and abdominal pain

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Conditions, Gastroenterology


MKSAP: 39-year-old woman with fatigue, intermittent rectal bleeding, and abdominal pain

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 39-year-old woman is evaluated for fatigue, intermittent rectal bleeding, and abdominal pain over the past 2 months. She reports that the bleeding is not accompanied by anal pain or itching. She has experienced an unintentional 2.3-kg (5.1-lb) weight loss since […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Conditions, Gastroenterology


What distinguishes good physicians from truly seasoned medical professionals?

One thing that gastroenterologists know about is stool. But, I’m not referring to that kind of stool in this post. Follow along. When we do a colonoscopy, for example, we are relying upon stool, or more accurately a stool, as in a three-legged stool. This metaphor illustrates that the three legs must be equally strong […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, Gastroenterology, PA NP, CRNA


Health insurance company denials make no sense

We do most of our colonoscopies in our ambulatory surgery center (ASC), which is attached to our office. We are proud of the work that we and our staff do every day and are grateful for the outstanding feedback that we consistently receive from our patients. Some insurance companies will not cover procedures in our […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Asc, Physician, Gastroenterology, PA NP, CRNA


The politics and commercialization of fecal transplants

The New York Times is interested in fecal transplants. This is the euphemistic term for taking feces, poop, crap, sh*t, bowel contents from one person and putting it into another person. There are various procedures for doing this, from drying it and putting it into capsules to making it liquid and introducing it by enema, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, New York Times, Conditions, Gastroenterology, PA NP, CRNA


MKSAP: 60-year-old man with constant low-grade epigastric pain radiating to his back

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old man is evaluated for constant low-grade epigastric pain radiating to his back that worsens after he eats fatty foods. He has a 2-year history of chronic pancreatitis. The pain has progressively worsened over the preceding 6 months. His weight […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


MKSAP: 49-year-old woman with worsening joint symptoms

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 49-year-old woman is evaluated for recently worsening joint symptoms. She has a 13-year history of Crohn disease characterized by four to six stools daily and mild crampy abdominal pain. She also has a 1-year history of arthritis. She currently has […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Conditions, Gastroenterology, Rheumatology


Understanding 6 trends shaping health care through gastroenterology

If you throw a pebble today, it’s likely to land on an article that talks about how artificial intelligence and its brother — machine learning — are changing health care. Yes, I get it broadly. But I was curious to explore how exactly health care’s trends are shaping a single medical specialty. I chose gastroenterology […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Tech, Mobile Health, Gastroenterology, PA NP, CRNA


The brave new world of cannabis: chronic vomiting

A young patient, let’s call him Chad, goes to the doctor. He complains of attacks of nausea from the moment he wakes up in the morning. Sometimes his belly hurts as well. It’s been happening, on and off, for years. He gets cold and shaky. At times, it will progress to full-fledged vomiting, uncontrollable with any medications. The nausea is unbearable. Sometimes, getting in a very hot shower will take the edge off the nausea, but not always. In many cases a trip to the emergency room is needed f...
Tags: Books, Featured, Marijuana, Ulcerative Colitis, Cannabis, Canada, Chad, Nausea, Journals, Medical Marijuana, Health & Medicine, Crohn, Science & Medicine, Crohn's Disease, Gastroenterology, Medical Cannabis


MKSAP: 75-year-old man with progressive dysphagia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 75-year-old man is evaluated for progressive dysphagia of 8 months’ duration for both solid food and water, and the necessity to induce vomiting several times each month to relieve his symptoms. He also has experienced chest pain and heartburn symptoms. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, Oncology/Hematology, CRNA


Should we start screening for colon cancer at age 45?

Here’s what most medical experts agree on: People 50 and older should be screened for colon cancer. Here’s what is more controversial: Whether that screening should start, routinely, at age 45. Recently, the American Cancer Society (ACS) recommended that colon cancer screenings start at age 45. Their recommendation was based in large part on an uptick […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American Cancer Society ACS, Conditions, Gastroenterology, PA NP, Oncology/Hematology, CRNA


MKSAP: 60-year-old woman with H. pylori gastritis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old woman is evaluated 1 month after completing a 14-day course of Helicobacter pylori eradication therapy consisting of amoxicillin, clarithromycin, and omeprazole. Initial upper endoscopy before treatment showed patchy gastric erythema with no ulcers or erosions, and biopsies revealed H. pylori gastritis. Currently, she […] Find jobs at Careers by KevinMD.com. Search thousan...
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


A patient gives the gift of poop

In broken English, against the backdrop of the emergency department’s chaos and clatter, Mr. Simon relayed his story: unintentional weight loss, gradually yellowing skin, weeks of constipation. He punctuated his list of devastating symptoms with laughter — exaggerated but genuine guffaws. Over the next few days, as the medical student responsible for his care, I […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Simon, Conditions, Gastroenterology, PA NP, CRNA


How should salespeople sell to doctors?

Two device salesmen recently came unannounced to our small private gastroenterology practice. They were hawking a product that could quickly and non-invasively determine how much scar tissue had formed in a patient’s liver, a useful tool for assessing patients with hepatitis and many other liver conditions. We are physicians, not entrepreneurs. We do not regard […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Physician, Gastroenterology, PA NP, CRNA


Using probiotics in children: a pediatrician’s take

The over-the-counter sale of probiotics is a huge industry. They are heavily promoted on social media as a cure-all for a wide variety of ills. Probiotics are live cultures of what are often called “good bacteria,” and there are solid physiological reasons for recommending them. But, and this is a huge but, actual clinical data […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pediatrics, Gastroenterology, Meds, PA NP, CRNA


MKSAP: 55-year-old man with mild nausea and dyspepsia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in the emergency department for a 2-day history of mild nausea and dyspepsia that is worse with fasting and improved with eating. He has also had a 24-hour history of frequent black stools and fatigue. He […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


Physician gives in to police pressure to conduct a forced invasive rectal exam

Recently, news broke about a disturbing act of medical battery carried out by doctors at St. Joe’s Medical Center in Syracuse, New York. The case began when police officers conducted a pretext stop and elected to harass their victim about a small amount of marijuana. As the situation escalated, the cops took the man to […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Syracuse New York, Physician, Gastroenterology, PA NP, Hospital-Based Medicine, CRNA, St Joe 's Medical Center


Seasoned medical professionals prescribe new medicines sparingly

I prescribe heartburn medicines every day. There’s a gaggle of them now — Prilosec, Nexium, Prevacid, Protonix — to name a few. As far as experts know, their primary effect is to reduce the production of stomach acid. This is why they are so effective at putting out your heartburn fire. In simple terms: no […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Gastroenterology, Meds, PA NP, CRNA, Prilosec Nexium Prevacid Protonix


A clinician’s guide to microbiome testing

The intestinal microbiota, also commonly known as the ‘‘gut microbiome’’ is integral to human physiology and has wide-ranging effects on the development and function of the immune system, energy metabolism and even nervous system activity. There is a lot of excitement around the potential of targeting the microbiome therapeutically to promote health and to prevent […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Conditions, Gastroenterology, PA NP, CRNA


Before undergoing a test, ask whether it will make a difference in your care

Recently, a physician asked my opinion if a patient needed a colonoscopy. My partner was already on the case and I was covering over the weekend. The facts suggested that a colonoscopy was warranted. The patient had a low blood count and had received blood transfusions. Certainly, a bleeding site in the colon, such as […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Conditions, Gastroenterology, PA NP, CRNA


MKSAP: 58-year-old woman with left lower abdominal discomfort

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 58-year-old woman is evaluated in the emergency department for a 2-day history of left lower abdominal discomfort. The pain began insidiously and has gradually progressed. She has felt warm but has not had shaking chills, urinary symptoms such as dysuria […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


Beware the hazards of over-the-counter (OTC) pain medications

A 30-year old male patient was recently admitted to my service via the emergency department. He came in complaining of abdominal pain and dark tarry stools. He mentioned a recent fall resulting in knee pain for which he had been taking 400 mg ibuprofen four times daily. He underwent upper GI endoscopy and was diagnosed […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Gastroenterology, Meds, PA NP, CRNA


It’s time to talk about private equity in gastroenterology

Well, they are calling it the golden age of rectums! The trends are simple and straightforward. First, Baby Boomers and beyond are aging and staying alive longer. The gut, a hidden culprit behind many ailments, requires continuous maintenance. Colonoscopies, EGDs and ERCPs. These require services of gastroenterologists (GIs) who are always in short supply (14,000 […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, Gastroenterology, PA NP, CRNA


MKSAP: 64-year-old man seen after an intraoperative liver biopsy

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 64-year-old man is evaluated in follow-up after recent abnormal findings on intraoperative liver biopsy. Two days ago he underwent right colon resection for a large villous adenoma with high-grade dysplasia. At the time of surgery, an abnormal-appearing liver was noted […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Diabetes, American College of Physicians, Conditions, Gastroenterology, PA NP, CRNA


Beware of food sensitivity tests on Facebook

Facebook. Where else could I stumble on a video of a baby hippo taking a bath, or Toto’s Africa performed on solo Harp? But among the shares and silliness and talent, there’s a dark side to Facebook. It’s become a fast way for quacks to push their scams and empty your wallet. Just today in my feed […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Facebook, Africa, Conditions, Gastroenterology, PA NP, CRNA


Be the honest doctor instead of the confident one

This is an article about certainty, or maybe lack of certainty? It is about the need for confidence, without having overconfidence. Doctor! Don’t be arrogant — listen to your patient — they are telling you the answer. So believe them, but be a skeptic! Better yet, figure out the diagnosis, but then don’t believe yourself. Try […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, Gastroenterology, PA NP, CRNA


MKSAP: 30-year-old woman is evaluated for a 2-month history of diarrhea

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 30-year-old woman is evaluated for a 2-month history of diarrhea with three to five loose stools per day. She has mild abdominal cramps, bloating, intermittent nausea, and mild anorexia that has resulted in the loss of 2.3 kg (5.0 lb). She has had no fever or blood in the stool. She works in a day care center and has not traveled recently or had exposure to antibiotics. She is otherwi...
Tags: Health, Infectious Disease, American College of Physicians, Conditions, Gastroenterology


A vow to never become a robot doctor

Before coming to medical school, I made a promise to myself: I will not become a robot doctor. Time and again, I visited what I call robot doctors: those physicians unable to empathize with me and seemingly unable to compute moments when I said something unscripted. For example, I once made an appointment with a doctor to discuss what might have been irritable bowel syndrome (IBS). While describing my symptoms and discomfort, I cried. The doctor stared at me, blankly, and offered, “I can also re...
Tags: Health, Education, Time, Medical School, Gastroenterology


When diagnosing colon cancer isn’t in a patient’s best interest

So much of life depends upon timing. Sure, we plan, but we know how much of our life’s events are unplanned and unexpected. So often, our jobs and our mates — two of our most defining accomplishments — are the result of a chance encounter or a random act. Life does not reliably proceed in an orderly manner. This is often true in the medical profession. Here, physicians in our quest to seek out and squelch disease, often discover what would should have been left alone. For example, is discovering...
Tags: Health, Conditions, Gastroenterology, Oncology/Hematology


MKSAP: 36-year-old woman with refractory constipation

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 36-year-old woman is evaluated for a 12-year history of refractory constipation. Her symptoms began after a difficult childbirth. She has constipation marked by straining, bloating, and a constant sensation of incomplete emptying. She sometimes has 4 or more days between bowel movements. When she does have a bowel movement, the stool is soft-formed. Trials of several fiber supplements...
Tags: Health, American College of Physicians, Conditions, Gastroenterology