Jun 12, 2019
Author: Nick Hatch, MD
Educational Pearls:
- Postpolypectomy electrocoagulation syndrome (PES) is a rare complication of polypectomy and electrocautery during colonoscopy
- Occurs when cautery causes transmural thickening from a contact burn
- Patients can present as if they have peritonitis, with guarding, leukocytosis,...
Oct 31, 2018
Author: Michael Hunt, MD
Educational Pearls:
- Alcohol and gallstones are most common causes of pancreatitis
- Diagnosis is not simply based on lipase alone - must have at least two the the three criteria:
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- Elevated lipase (greater than 3x upper limit of reference range)
- Typical pain (epigastric pain, radiating to back,...
Sep 28, 2018
Author: John Winkler, MD
Educational Pearls:
- Probiotics are bacteria that are ingested to promote gut health but recent research casts doubt on their effectiveness.
- Recent study suggests that most probiotics that are ingested are killed by stomach acid. Those that remain are not very healthy and are outcompeted by...
Jun 18, 2018
Author: Jared Scott, MD
Educational Pearls:
- Scombroid is a type of food poisoning associated with dark fish (i.e. tuna, salmon, mackerel) that mimics anaphylaxis.
- Occurs through conversion of histidine to histamine by bacteria in the fish.
- Symptoms include flushing, lips swelling, nausea, diarrhea in setting of...
Jul 28, 2017
Author: Jared Scott, M.D.
Educational Pearls
- Boerhaave syndrome (aka effort rupture of the esophagus) accounts for 10% of esophageal ruptures and is usually caused by strain during vomiting episodes. It can also be caused by childbirth, seizure, or prolonged coughing or laughing.
- Food and water swallowed after the...