GiT Updates and More
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Gi doctor with interests in endoscopy, gut health, liver & medicine in general.
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Postlar arxiv
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Clostridium difficule associated colitis (pseudomembranous colitis). Patients usually present with diarrhoea, abdominal pain, and leukocytosis, and a history of recent antibiotic use. Other common symptoms include fever, abdominal tenderness, and distension and may be asymptomatic.
Stool testing [ ELISA to detect C.difficle toxins ] should be considered in any patient with unexplained, new-onset diarrhoea (defined as 3 or more unformed stools in 24 hours in a patient not taking laxatives).
about half of the patients with positive PCR test for C. diff do not experience adverse events without treatment and do not need treatment. So,PCR testing for C.diff should not be used alone diagnostic test.
Treatment is to discontinue the responsible antibiotic and start therapy with oral vancomycin or fidaxomicin. Up to 50% of patients have a relapse after discontinuation of antibiotics, but most respond to a second course of therapy. In those who relapse again, faecal microbiota transplantation is very effective.
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❇️ Wonderful Spotlight on “ Gastric intestinal metaplasia “
👍 for better quality: https://ars.els-cdn.com/content/image/1-s2.0-S0016508520300755-gr1_lrg.jpg
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🔥Expert Haematology Panel (EHP) focussed on syndrome of Thrombosis &Thrombocytopenia occurring after coronavirus Vaccination ❇️( Management)
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Extra Esophageal landmarks :
a) Spine - 6 o'clock
b) Anterior vagal trunk - 12 o'clock
c) Posterior vagal trunk - 6 o'clock
d) Thoracic duct - 5 o'clock
e) Left lung - 9 o'clock
f) Aorta - 8 o'clock
g) Azygous vein - 4 o'clock
