Heavy ETOH Plus a Metallic Taste: Clues to What Deficiency?
This patient's presentation also included a pruritic rash around the nasolabial region and inguinal folds. What type of deficiency would you test for?
Diarrhea, Dermatitis, Dementia: What One Cause of All?
These symptoms may seem unrelated but are actually classic for a vitamin deficiency. Do you know which one?
Vitamin Deficiency or Mineral Toxicity-Your Dx?
Crohn disease patients with short gut syndrome may require total parenteral nutrition to replace nutrients no longer absorbed. But the supplementation has its risks. Can you name the source of the symptoms in this case?
Colon Cancer Screening: When to Stop?
Professional societies differ somewhat in their recommendations for when the benefits of annual screening reach an end. Two groups, however, are on the same page.
What Likely Cause of Occult GI Bleeding?
What would you suspect as the source in a woman 32 years of age?
Fecal Occult Blood Test, Positive: What Study Next?
Results of upper and lower endoscopy are inconclusive. Your next step?
What Cause of an Ulcer after Roux-en-Y Bypass Surgery?
This 42-year-old woman lost 100 lb during the year after gastric bypass surgery. Now, she is diagnosed as having an ulcer. What might be the cause of the lesion?
Dysphagia to Solids: Which Study Would You Choose?
Fear of dining outside the home brings this patient to see you. What's the best diagnostic tool?
What Treatment for Rectal Ulcer in a Young Man?
Constipation-related straining may be the cause of the lesion. How would you proceed?
Domperidone Rx for Gastroparesis: Which Test First?
Domperidone is better tolerated by some patients than metoclopramide. Before a switch, however, this test must be performed.
Sessile Serrated Adenoma Found: When to Re-scope?
The patient is 50 years old and has no family history of colon cancer. Should he have a repeated colonoscopy at 1 year? 5 years? 10 years?
What Agent After Surgery for Penetrating Crohn Disease?
In the absence of well-defined post-op management, how would you proceed?
A Downside of Eating Out for this Middle-Aged Man
Potential for infection is everywhere for patients with alcoholic cirrhosis.
Dysplastic Polyp in a Woman with UC: What Next?
A medication change? Repeat colonoscopy with chromoendoscopy? Colectomy? Other?
Colectomy for Dysplastic Lesion in UC
Crampy Abdominal Pain: Your Impression?
See if the results of this 62-year-old woman's colonoscopy help you identify the source of her abdominal pain.
GI Quick Quiz: Test Yourself on Three Topics
Which of the following extraintestinal manifestations of inflammatory bowel disease often parallels disease activity?
For Persistent Dysphagia, What Test Next?
The patient specifically reports difficulty swallowing at the level of the sternal notch. An upper endoscopy 10 years ago found no abnormality. Which of these tests makes sense now?
Bad Genes, But Which Ones?
A young woman with a history of a desmoid tumor as a child undergoes a screening colonoscopy. What gene mutation is suggested by the finding of multiple adenomatous polyps?
Lower GI Distress in an HIV-Positive Young Man
A classic sign helps determine the diagnosis. Do you recognize it?
For IBS-D, What Diet Works Best?
What to delete and what to keep, that is the IBS dietary question.
What Treatment for Functional Chest Pain?
In Recurrent Clostridium Difficile Colitis, What Treatment Next?
Many treatments have failed but evidence is accumulating in support of a newcomer. Do you know which one it is?
