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Ogilvie’s Syndrome

Ogilvie's syndrome is an acute, paralytic ileus of the colon without mechanical obstruction associated with massive right colon dilation. Symptoms can include abdominal distension/pain, constipation, and in more severe situations, leukocytosis with fevers. In line...

Anatomic Liver Segments

The Couinaud classification system divides the liver into eight functionally independent segments, each with a center consisting of a portal vein, hepatic artery branches, and bile duct drainage. The periphery of each segment is...

Severe Transaminitis

Transaminitis refers to an increase in circulating levels of transaminases (ie, AST and ALT) classically indicative of liver injury. Hepatobiliary disease spans a wide breadth of various pathologies and should consider a patient's physical...

GI Bleeding With LVADs

Left ventricular assist devices (LVADs) are gaining more traction in treatment-refractory heart failure primarily as a bridge-to-transplantation or destination therapy. Unfortunately, these patients frequently develop gastrointestinal (GI) bleeds requiring transfusion and endoscopic interventions. But...

Octreotide

Sandostatin (octreotide) is a subcutaneous, intramuscular, or intravenous analog to somatostatin - a protein hormone secreted throughout the GI tract - which acts via G-protein coupled receptors to inhibit a myriad of other hormones....

First Day Of Pediatrics

Today was the first day of my last core rotation in medical school - pediatrics! I'll be spending most of the two months at the largest pediatric hospital in the country - Texas Children's...

Fidaxomicin for Clostridium difficile

C. difficile is a bacteria part of our normal bowel flora, but when certain antibiotics (namely clindamycin) wipe out the other healthy organisms, C. diff's growth is left unchecked. C. diff colitis is something...

First Week at St. Luke’s

I'm on the gastroenterology consult service at St. Luke's Episcopal Hospital (SLEH) for the second month of my internal medicine rotation. Last month, Ben Taub General Hospital (BTGH) provided me with the team-centered, primary...

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