PPIs and Dementia: Is Causality Really There?
"Keep calm and carry on" suggests a thoughtful gastroenterologist whose patients continue to ask for reassurance.
Lifestyle Interventions for GERD: What Works?
What 2 interventions do you think were found the most effective in a recent comprehensive meta-analysis?
H Pylori 3-question Quiz
When should you test for Helicobacter pylori? For what conditions is H pylori a risk factor? And one more question, here.
Victual Avoidance
A 25-year-old man presents with progressive dysphagia to solids. You order an upper endoscopy. What do the results tell you?
Eosinophilic Esophagitis: Which Rx When and for How Long?
Our short case-study quiz will test your recall of current standard of care for EoE.
Test Your Hepatic Hubris
If hepatology is your strong suit, you should do well on this short quiz.
PPIs May Up MI Risk in General Population
Authors of a new study used data mining techniques to examine the risk associated with PPI use outside of high-risk cohorts.
Which of the “Six Foods” Would You Eliminate First?
For a young man with eosinophilic esophagitis, which potential allergen is most likely the cause of his symptoms?
Which Pancreatic Lesion Requires Resection?
Cystic pancreatic lesions fall into several categories. Some are indolent and can be followed; others are precancerous.
What’s Next in Workup for Portal Vein Thrombosis?
Portal vein thrombosis is often an ominous sign. What next for this patient with HCV cirrhosis?
Does Stress Cause Ulcers? Round II
Psychological stress increased the risk for peptic ulcer regardless of H pylori status or NSAID use, according to results of a new study.
Colorectal Ca Screening: Does Noninvasive Make the Grade?
There are several “do-it-yourself” colon cancer screening tests available. But do any of them approximate the sensitivity of the gold standard colonoscopy?
Follow-up Colonoscopy: When Should This Patient Return?
Is a surveillance interval of 1 year, 3 years, 5, or 10 years recommended?
Esophageal Rings, Furrows, and Plaques: What Next?
These endoscopic findings help explain worsening dysphagia in a 32-year-old man. Esophageal biopsies prove positive for eosinophilia. How would you proceed?
Weigh in on Weight loss Drugs
For many obese adults, diet and exercise are not enough to achieve durable weight loss. Three drugs are approved in the US as adjunctive therapy for obesity management. Weigh in with what you know with answers to these 3 questions.
Suspect Subepithelial Lesion in the Antrum of a Middle-Aged Man
The incidental finding was noted during screening endoscopy for Barrett's esophagus. Can you answer these 3 questions on next steps and management of the case.
Fecal Microbiota Transplant Has a 90% Cure Rate: T/F?
Stool transplant for C. difficile infection is becoming more popular. But, is the cure rate really 90%?
Hyperemesis in a Young Woman: Diagnosis
Could repeated episodes of vomiting in this young woman be related to ingestion of a drug?
Hyperemesis in a Young Woman
For the past year, the patient has had episodes of severe nausea, vomiting, headache, and abdominal pain separated by weeks of feeling quite well.
Perianal Pain Associated With Crohn Colitis: What Next?
What would your diagnosis be in this young man and how would that inform your next step?
Bleed Identified, Infection Ruled Out: What Next?
Does this patient need IV PPI, pRBCs, or maybe TLC for now?
Blurred Vision and Palpitations in a Young Woman
Intermittent blurred vision and palpitations in a young woman often improve after juice. She does not have DM. One day, she arrives at the ED after a seizure. Head CT is negative. What’s next?
Whipple Triad Classically Suggests Insulinoma
Diet and medication can be used to manage symptoms of insulinoma. Once the lesion is well localized, resection is curative.
Odynophagia in a Young Adult Male
A 28-year-old man reports pain on swallowing of a week's duration. He is otherwise in good health. Upper endoscopy and tissue biopsy reveal the cause. What do you see?
HSV Esophagitis
The most frequently encountered cause of infection of the esophagus is Candida. Among viral causes HSV is the most common, followed by CMV.
An Incidental Mass Found in the Terminal Ileum
Test your knowledge of this GI finding with questions on diagnosis, laboratory screening, and removal.
Carcinoid Tumor of the Terminal Ileum
For carcinoid tumors of the GI tract, the rate of metastasis is related to size. Small tumors may be resected endoscopically but lesions 1 cm or larger require surgical resection.
What Rx to Treat Hepatitis B During Pregnancy?
Many caveats govern the management of hepatitis B during pregnancy. Do you know which antiviral drugs are classified as pregnancy category B?
Incidental Gallbladder Polyp: What Does Size Say About Next Steps?
No gallstones were found on RUQ ultrasound in this 45-year-old patient, but a polyp was seen. How would you proceed?
Upper GI Bleed With Visible Vessel: How Long to Observe After Treatment?
Some patients with upper GI bleeding can be sent home after endoscopy; others require extended treatment and inpatient observation.