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Colonic pseudopolyps in ulcerative colitis seen during water immersion colonoscopy
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you can differentiate between PSC and IAC :
✅ presence of AIP1
❓ IgG4 not perfect
✅ IgG1 and 2
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Malnutrition affects over 60% of patients with decompensated liver disease.
❇️ causes and management
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ESGE 2021 GI bleed guideline :
Consider over the scope clip(OTSC) as first line therapy if:
✅Active peptic ulcer bleeding (Forrest 1a/1b) + any of:
✳️ Ulcer >2cm
✳️ Visible vessel >2mm
✳️ Excavated / Fibrotic ulcer
✳️ High risk location (e.g. gastroduodenal, L gastric arteries)
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Early intervention and screening of major causes of chronic liver disease
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Early intervention and screening of major causes of chronic liver disease
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✅ INVESTIGATING GASTROINTESTINAL MANIFESTATIONS OF COVID-19
https://www.brighamhealthonamission.org/2021/01/28/investigating-gastrointestinal-manifestations-of-covid-19/
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CHA₂DS₂-VASc score🆚HAS-BLED score
if CHA₂DS₂-VASc >2 men, >3 women ➡️ anticoagulate💊
Non-valvular Atrial fibrillation :
-DOAC (apixaban, rivaroxaban)
Valvular A.fib:
-Warfarin
To prevent bleeding, no antiplatelets
If on antiplatelets, use PPI to decrease GI bleed
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Pancreatic cystic neoplasms: a review of current recommendations for surveillance and management
https://link.springer.com/content/pdf/10.1007/s00261-021-03030-x.pdf
