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Most recents (24)
⭐️New-pub alert!!
@APASLnews guidelines on management of #ascites in liver disease.
Salient features covered which are different from other guidelines👇🏻
✅Diagnostic approach to mixed ascites
✅Role of low-dose albumin (1/n)
link.springer.com/article/10.100…
@APASLnews guidelines on management of #ascites in liver disease.
Salient features covered which are different from other guidelines👇🏻
✅Diagnostic approach to mixed ascites
✅Role of low-dose albumin (1/n)
link.springer.com/article/10.100…
✅Recommendations on use of ACE inhibitors/ARBs
✅Diagnostic approach to management of pleural effusion
✅Recommend ICA definition for defining renal dysfunction in refractory ascites
✅Start with low-dose diuretics and gradually increase dose to increase tolerability (2/n)
✅Diagnostic approach to management of pleural effusion
✅Recommend ICA definition for defining renal dysfunction in refractory ascites
✅Start with low-dose diuretics and gradually increase dose to increase tolerability (2/n)
⭐️Diagnostic algorithm for workup of new onset #ascites 👇🏻
✅SAAG - diagnosis of portal hypertension
✅High SAAG, high protein ascites - use BNP, 2D echo, SPA doppler and thyroid profile
✅Low SAAG, high protein ascites - use ascitic fluid ADA, amylase and TG (3/n)
✅SAAG - diagnosis of portal hypertension
✅High SAAG, high protein ascites - use BNP, 2D echo, SPA doppler and thyroid profile
✅Low SAAG, high protein ascites - use ascitic fluid ADA, amylase and TG (3/n)
1/ Collated thread for new GI fellows
⭐️GI Fellow Resources ⭐️
▪️Websites
▪️Guidelines
▪️Apps
▪️Podcasts
▪️Textbooks
▪️Board study
▪️Social media
📲 bit.ly/3KwqCVG (hyperlinked 📄)
#GITwitter
⭐️GI Fellow Resources ⭐️
▪️Websites
▪️Guidelines
▪️Apps
▪️Podcasts
▪️Textbooks
▪️Board study
▪️Social media
📲 bit.ly/3KwqCVG (hyperlinked 📄)
#GITwitter
2/ Advice for First Year Fellows
▪️Build management algorithms
▪️Read on 🔦, 🔬, 🩻
▪️Use 📚 study resources
▪️Register for ASGE first yr course
▪️Review basic anatomy
▪️Invest in GI endoscopy atlas
▪️Develop system of 🔬 tracking
▪️Mentor & network
🔗 giejournal.org/article/S0016-…
▪️Build management algorithms
▪️Read on 🔦, 🔬, 🩻
▪️Use 📚 study resources
▪️Register for ASGE first yr course
▪️Review basic anatomy
▪️Invest in GI endoscopy atlas
▪️Develop system of 🔬 tracking
▪️Mentor & network
🔗 giejournal.org/article/S0016-…
3/ Survive consult blocks!
▪️Have a system!
▪️Checklist for each 🆕 consult
▪️Talk to the consulting team
▪️Be brief
▪️Give specific recs
▪️Provide contingency plans
Art of Being a Consultant
🔗 jamanetwork.com/journals/jamai… @JAMA_current
See @Dr_Oubre for more documentation tips!
▪️Have a system!
▪️Checklist for each 🆕 consult
▪️Talk to the consulting team
▪️Be brief
▪️Give specific recs
▪️Provide contingency plans
Art of Being a Consultant
🔗 jamanetwork.com/journals/jamai… @JAMA_current
See @Dr_Oubre for more documentation tips!
💊Drug Induced pancreatitis (DIP) by @AshkarMotaz from @WUGastro soon returning as @MayoClinicGIHep staff #IMPACT #gitwitter
🥇See tweet 5 for the current classification dx!
📚Hx of DIP: Understanding of DIP has evolved since it was first described in 1950s-60s on case reports
🥇See tweet 5 for the current classification dx!
📚Hx of DIP: Understanding of DIP has evolved since it was first described in 1950s-60s on case reports
🥇First drug-induced acute pancreatitis (AP) classification came out in '96
Subclassified as - definitive, probable, and possible DIP
Limitations of '96 classification:
1⃣DIP is UNCOMMON
2⃣DIP NOT different from AP 2/2 other causes
4⃣Drug re-challenge often not possible
Subclassified as - definitive, probable, and possible DIP
Limitations of '96 classification:
1⃣DIP is UNCOMMON
2⃣DIP NOT different from AP 2/2 other causes
4⃣Drug re-challenge often not possible
🌟DIP classification was updated again in 2006 based on evidence & pattern of clinical presentation.
New challenges‼️
1⃣Inadequate dx criteria for AP
2⃣? ruling our common causes of AP
3⃣Lack of rechallenge
4⃣Idiopathic, microlithiasis, genetic causes intersecting with DIP dx
New challenges‼️
1⃣Inadequate dx criteria for AP
2⃣? ruling our common causes of AP
3⃣Lack of rechallenge
4⃣Idiopathic, microlithiasis, genetic causes intersecting with DIP dx
🔮Pancreatic cysts: What's in the Juice by #YanBi from #MayoFL #IMPACT #gitwitter
🎯Pancreatic Cysts Incidence 📈with ↑imaging
🌟90% of P-Cysts are IPMNs (Intraductal Papillary Mucinous Neoplasms)
-70% IPMNs are BD-IPMN (branch duct)
-30% IPMNs are MD-IPMN (main duct)
🎯Pancreatic Cysts Incidence 📈with ↑imaging
🌟90% of P-Cysts are IPMNs (Intraductal Papillary Mucinous Neoplasms)
-70% IPMNs are BD-IPMN (branch duct)
-30% IPMNs are MD-IPMN (main duct)
🔮Benign cysts (observation/drainage/sx)
- Pseudocyst
- Serous cystadenoma
⁉️Pre-malignant (observation/sx)
- IPMN
- MCN (mucinous cystic neoplams)
🦀Malignant (sx)
- Cystic neuroendocrine tumor (CNET)
- Solid pseudopapillary neoplasm (SPN)
- Cystic degeneration of PDAC
- Pseudocyst
- Serous cystadenoma
⁉️Pre-malignant (observation/sx)
- IPMN
- MCN (mucinous cystic neoplams)
🦀Malignant (sx)
- Cystic neuroendocrine tumor (CNET)
- Solid pseudopapillary neoplasm (SPN)
- Cystic degeneration of PDAC
🎯Cyst fluid CEA >192 distinguishes between mucinous vs. non-mucinous BUT not malignant vs. non-malignant ($$$)
🌟Cyst fluid glucose <50 costs significantly ↓ & does the same as CEA
🎖️CEA and glucose can be combined for even higher sensitivity and specificity
🌟Cyst fluid glucose <50 costs significantly ↓ & does the same as CEA
🎖️CEA and glucose can be combined for even higher sensitivity and specificity
🌟Pancreatic cancer (PC) Screening by @MajumderShounak #IMPACT #gitwitter
Why care about screening for PC?
10th leading cancer 🦀diagnosis in 🇺🇸 but 3rd leading cancer☠️with 5-year survival is only 11%
🎯Current recommendations suggest against PC screening unless "high-risk"
Why care about screening for PC?
10th leading cancer 🦀diagnosis in 🇺🇸 but 3rd leading cancer☠️with 5-year survival is only 11%
🎯Current recommendations suggest against PC screening unless "high-risk"
Define "High-risk individual" (HRI)?
1⃣Age
2⃣Fam hx of PC (dx age, relationship)
3⃣Germline mutations
‼️Familial PC = ≥2 first-degree relatives (FDR)
☠️If 2 FDR 6x risk
☠️If 3 FDR 32x risk
🦀Genetic mutations assoc with PC (5.5% cases) - CDKN2A, TP53, MLH1, BRCA2, ATM,
BRCA1
1⃣Age
2⃣Fam hx of PC (dx age, relationship)
3⃣Germline mutations
‼️Familial PC = ≥2 first-degree relatives (FDR)
☠️If 2 FDR 6x risk
☠️If 3 FDR 32x risk
🦀Genetic mutations assoc with PC (5.5% cases) - CDKN2A, TP53, MLH1, BRCA2, ATM,
BRCA1
🔍Begin screening age 50 or 10 years younger than the earliest relative affected by PC
Peutz-Jeghers Syndrome (STK11/LKB1)—Age 35
Hereditary Pancreatitis (PRSS1)—Age 40
Familial atypical multiple mole melanoma syndrome (CDKN2A)—Age 40
Peutz-Jeghers Syndrome (STK11/LKB1)—Age 35
Hereditary Pancreatitis (PRSS1)—Age 40
Familial atypical multiple mole melanoma syndrome (CDKN2A)—Age 40
1/📣#GITwitter last but not least
#ShortBowelSyndrome #MNIBDTweetorial🧵w @valcohranmd @DCharabaty
🤝Role of MDT 4 strongest 💪team
🏥Intestinal rehab. program breakdown
🏆#CME ℹ️bit.ly/40OZTdp
Support by an edu grant from @TakedaPharma
📌Where r u in your career?
#ShortBowelSyndrome #MNIBDTweetorial🧵w @valcohranmd @DCharabaty
🤝Role of MDT 4 strongest 💪team
🏥Intestinal rehab. program breakdown
🏆#CME ℹ️bit.ly/40OZTdp
Support by an edu grant from @TakedaPharma
📌Where r u in your career?
2/#MondayNightIBD #ShortBowelSyndrome #MedTwitter #GITwitter #MedPeds #BonumCE
🟠Earn #CME 🏆on Twitter!
🟠Full CME ℹ️ 🔗bit.ly/40OZTdp
📸 Faculty disclosures & important CME info 👇
🟠Earn #CME 🏆on Twitter!
🟠Full CME ℹ️ 🔗bit.ly/40OZTdp
📸 Faculty disclosures & important CME info 👇
3/#MondayNightIBD
#IBDPoll 1️⃣
➡️50-yo pt w 1y hx of SBS after multiple short bowel resections for stricturing Crohn’s
Labs show dehydration & nutrient deficiencies
U discuss initiating #ParenteralNutrition
➡️You focus on educating pt on which of the possible complications...
#IBDPoll 1️⃣
➡️50-yo pt w 1y hx of SBS after multiple short bowel resections for stricturing Crohn’s
Labs show dehydration & nutrient deficiencies
U discuss initiating #ParenteralNutrition
➡️You focus on educating pt on which of the possible complications...
MEGA 🧵‼️
#Ramadan and #IBD: Should folks with IBD fast?
This one is a 5-part tweetorial because it deserves due diligence
A data desert 🌵 so I’ll do my best & apologies in advance for what I forget or omit
Let’s dive in! @southasianIBD @ibdtweets @ibddoctor
🧵
1/
#Ramadan and #IBD: Should folks with IBD fast?
This one is a 5-part tweetorial because it deserves due diligence
A data desert 🌵 so I’ll do my best & apologies in advance for what I forget or omit
Let’s dive in! @southasianIBD @ibdtweets @ibddoctor
🧵
1/
One way to try and understand the relationship between Ramadan fasting & IBD is by subgroups:
1️⃣ patients with IBD in remission
2️⃣ hospitalized with active disease
3️⃣ undifferentiated IBD patients
4️⃣ animal models of fasting & IBD
5️⃣ extrapolations from rheumatology
2/
1️⃣ patients with IBD in remission
2️⃣ hospitalized with active disease
3️⃣ undifferentiated IBD patients
4️⃣ animal models of fasting & IBD
5️⃣ extrapolations from rheumatology
2/
1️⃣ #IBD PATIENTS IN REMISSION
⬇️
Available data from 🇮🇷 suggests
🥁🥁🥁
this group is NOT at risk of ⬆️ symptom burden while fasting ‼️🤷🏽
shorturl.at/GSU48
3/
⬇️
Available data from 🇮🇷 suggests
🥁🥁🥁
this group is NOT at risk of ⬆️ symptom burden while fasting ‼️🤷🏽
shorturl.at/GSU48
3/
[World #IBSAwarenessMonth] Dear #HCPs👩⚕️ & #Microbiota community👨🔬, April is dedicated to raising awareness about #IrritableBowelSyndrome
During the month, @Microbiota_Inst will provide you with content about #IBS, a common & complex #disease
#GutHealth #LetsTalkIBS #thread👇
During the month, @Microbiota_Inst will provide you with content about #IBS, a common & complex #disease
#GutHealth #LetsTalkIBS #thread👇
[World #IBSAwarenessMonth]
🔎 You will:
👉better understand the🔗between #IBS & #microbiota
👉discover potential ways to manage the #disease
👉learn to make a #diagnosis with our #CME courses, #videos & a professionally designed #tool
👉improve communication with your #patients
🔎 You will:
👉better understand the🔗between #IBS & #microbiota
👉discover potential ways to manage the #disease
👉learn to make a #diagnosis with our #CME courses, #videos & a professionally designed #tool
👉improve communication with your #patients
[World #IBSAwarenessMonth]
1️⃣ In this sequence, learn more about the link between #microbiota and #IrritableBowelSyndrome.
#IBS #MedTwitter #GITwitter #GutHealth #LetsTalkIBS #DGBI #FGID #GIfellows #TakeIBSSeriously
Take a look! 👇
1️⃣ In this sequence, learn more about the link between #microbiota and #IrritableBowelSyndrome.
#IBS #MedTwitter #GITwitter #GutHealth #LetsTalkIBS #DGBI #FGID #GIfellows #TakeIBSSeriously
Take a look! 👇
☪️ #4 and #5!
One of my personal favorite intersections: #Ramadan and #NAFLD
Things that are established: Ramadan fasting does not make fatty liver disease worse
But does it make it better?
The empiric answer would be YES, but how? let’s dive into the nuance
🧵1/
One of my personal favorite intersections: #Ramadan and #NAFLD
Things that are established: Ramadan fasting does not make fatty liver disease worse
But does it make it better?
The empiric answer would be YES, but how? let’s dive into the nuance
🧵1/
Observational data suggest that in patients with #fattyliverdisease, Ramadan tends to ⬇️ LFTs and ⬆️glycemic function
tinyurl.com/bdctcav8
Retrospective data seems to agree with this:
tinyurl.com/2nwd5zhc
These changes involve ⬇️ in A1c, BMI, and FIB4 scores❗️
2/
tinyurl.com/bdctcav8
Retrospective data seems to agree with this:
tinyurl.com/2nwd5zhc
These changes involve ⬇️ in A1c, BMI, and FIB4 scores❗️
2/
So the available data (though limited) establishes that Ramadan fasting seems to improve LFTs and leads to valuable reductions in disease-related indices like fibrosis scores
The more interesting question though, is
HOW❓🧐
3/
The more interesting question though, is
HOW❓🧐
3/
80 yo M. Known cardiovascular disease and anemia. Acute abdominal pain and vomit.
Diagnosis? Only ONE answer is correct 😉
#radres #futureradres #FOAMrad #FOAMed #GITwitter #Endoscopy #GIpath
1. Ischemic colitis
2. IBD
3. Tumor
4. None of the above
Diagnosis? Only ONE answer is correct 😉
#radres #futureradres #FOAMrad #FOAMed #GITwitter #Endoscopy #GIpath
1. Ischemic colitis
2. IBD
3. Tumor
4. None of the above
Correct answer: None of the above. Why?
This is a case of ischemic colitis AND colon cancer⬇️
Were you able to pick up both? Can you see the difference?
This is a case of ischemic colitis AND colon cancer⬇️
Were you able to pick up both? Can you see the difference?
Learning points
🌟Satisfaction of search bias (CAREFUL!)
🌟There is a known ASSOCIATION between is ischemic colitis and tumor. Different patterns can be seen.
Old but useful paper to check out if you would like to learn more 🤓
🌟Satisfaction of search bias (CAREFUL!)
🌟There is a known ASSOCIATION between is ischemic colitis and tumor. Different patterns can be seen.
Old but useful paper to check out if you would like to learn more 🤓
Do you have an undiagnosed patient despite exome sequencing? 🤔
It could be a repeat expansion disorder.
Here are 5 scenarios that should make you think of a repeat expansion disorder in adults. 🧵
#GeneChat #MedTwitter
It could be a repeat expansion disorder.
Here are 5 scenarios that should make you think of a repeat expansion disorder in adults. 🧵
#GeneChat #MedTwitter
1/5
A 21 y man with slurred speech who is experiencing difficulty with coordination and balance over the last several years. He fatigues easily.
Diagnosis: Friedreich's ataxia
Genetics: GAA repeat expansion in the 1st intron of FXN
Inheritance: Autosomal recessive
#Neurology
A 21 y man with slurred speech who is experiencing difficulty with coordination and balance over the last several years. He fatigues easily.
Diagnosis: Friedreich's ataxia
Genetics: GAA repeat expansion in the 1st intron of FXN
Inheritance: Autosomal recessive
#Neurology
2/5
A 25 y woman with hot flashes and irregular menses over the last several months (early menopause).
Diagnosis: Fragile X-associated primary ovarian insufficiency (FXPOI)
Genetics: CGG repeat expansion in the 5' UTR of FMR1
Inheritance: X-linked
#OBGYN
A 25 y woman with hot flashes and irregular menses over the last several months (early menopause).
Diagnosis: Fragile X-associated primary ovarian insufficiency (FXPOI)
Genetics: CGG repeat expansion in the 5' UTR of FMR1
Inheritance: X-linked
#OBGYN
1/15
📢The recent ACG Guidelines on biliary strictures
👉Focus on DRAINAGE principles
🔥A Tweetorial #GITwitter @AmJGastro
📢The recent ACG Guidelines on biliary strictures
👉Focus on DRAINAGE principles
🔥A Tweetorial #GITwitter @AmJGastro
2/15
Goals of drainage
▶️to alleviate symptoms (when present),
▶️to reduce serum bilirubin for chemotherapy can be safely administered (typically 2.5–3.5 mg/dL) and
▶️to optimize surgical outcome
Goals of drainage
▶️to alleviate symptoms (when present),
▶️to reduce serum bilirubin for chemotherapy can be safely administered (typically 2.5–3.5 mg/dL) and
▶️to optimize surgical outcome
3/15
Extrahepatic stricture due to a benign condition,
👉fcSEMS over multiple plastic stents(MPS)
▶️12 months MPS or
▶️6 months fcSEMS,
🔥some evidence suggests 12 months of fcSEMS therapy is advantageous (exchange at 6 months).
Extrahepatic stricture due to a benign condition,
👉fcSEMS over multiple plastic stents(MPS)
▶️12 months MPS or
▶️6 months fcSEMS,
🔥some evidence suggests 12 months of fcSEMS therapy is advantageous (exchange at 6 months).
A 44-YO♂️, stayed in a rural cottage of France 2 weeks previously: cramping upper abdominal pain with watery diarrhea.
He had passed what he thought were worms in his feces
Eosinophilia
1/6
doi.org/10.1093/cid/ci…
#GITwitter #IDtwitter #microbiology
He had passed what he thought were worms in his feces
Eosinophilia
1/6
doi.org/10.1093/cid/ci…
#GITwitter #IDtwitter #microbiology
The specimens: identified as the larvae of the drone fly, Eristalis tenax
These larvae are 2.5–3 cm in length; the posterior tube gives them the name of “rat-tailed maggots”
INTESTINAL MYASIS CAUSED BY ERISTALIS TENAX LARVA
2/6
doi.org/10.1093/cid/ci…
#parasites #GIPath #Doctor
These larvae are 2.5–3 cm in length; the posterior tube gives them the name of “rat-tailed maggots”
INTESTINAL MYASIS CAUSED BY ERISTALIS TENAX LARVA
2/6
doi.org/10.1093/cid/ci…
#parasites #GIPath #Doctor
Myiasis caused by E. tenax:
✔️rare but have been
✔️reported from various countries including Europe
✔️most often intestinal myiasis, but cases of infestation of the nasal cavity, urinary tract, and vagina have been described.
3/6
#Doctor #MedStudentTwitter
✔️rare but have been
✔️reported from various countries including Europe
✔️most often intestinal myiasis, but cases of infestation of the nasal cavity, urinary tract, and vagina have been described.
3/6
#Doctor #MedStudentTwitter
A 57-YO Mexican♀️, works on a farm has several pets, including dogs, at home: epigastric fullness, and a 15-pound weight loss.
CT: complex cystic left liver mass.
1/5
doi.org/10.1093/cid/ci…
#gastroenterology #radiology #medicine
CT: complex cystic left liver mass.
1/5
doi.org/10.1093/cid/ci…
#gastroenterology #radiology #medicine
Resection: Cyst wall (red➡️), daughter cysts (*) normal liver tissue (yellow⬅️)
🔬acellular laminated wall (*), inner germinal layer (black⬅️), & protoscoleces surrounded by a broad capsule (green⬅️). Refractile hooklets (blue⬅️) & calcareous bodies (red⬅️)
2/5
#GIPath #IDtwitter
🔬acellular laminated wall (*), inner germinal layer (black⬅️), & protoscoleces surrounded by a broad capsule (green⬅️). Refractile hooklets (blue⬅️) & calcareous bodies (red⬅️)
2/5
#GIPath #IDtwitter
ECHINOCOCCAL CYST
The patient underwent total excision of the cyst followed by albendazole therapy for 4 weeks.
3/5
doi.org/10.1093/cid/ci…
#microbiology #GITwitter #MedStudentTwitter
The patient underwent total excision of the cyst followed by albendazole therapy for 4 weeks.
3/5
doi.org/10.1093/cid/ci…
#microbiology #GITwitter #MedStudentTwitter
🔥Crohn’s Perianal Fistula - #MondayNightIBD w all🌟faculty 🔥 CME 👉 bit.ly/CPF2 🔸Supported by an edu grant from @TakedaPharma 🔸 twitter.com/i/broadcasts/1…
2/#MondayNightIBD #Crohns #PerianalFistula #MedTwitter #GITwitter
✅Answer #IBDPolls👇
🗓 Mark your calendar - Live Q&A @ 8p ET/5p PT
📲Tweet your❓to be addressed Monday!
📸 Faculty disclosures & important CME info👇
✅Answer #IBDPolls👇
🗓 Mark your calendar - Live Q&A @ 8p ET/5p PT
📲Tweet your❓to be addressed Monday!
📸 Faculty disclosures & important CME info👇
3/#MondayNightIBD #GITwitter #MedTwitter
#Crohns #PerianalFistula #CPF
@BonumCe
👇Answer Pre-Polls before watching 👇
#Crohns #PerianalFistula #CPF
@BonumCe
👇Answer Pre-Polls before watching 👇
A 29-YO♂️, 6 months before, HIV + & non–drug-resistant pulmonary tuberculosis, antiretroviral & 4-drug antituberculous therapy initiated but soon reduced to rifampin & isoniazid only: abdominal pain on the L side
CT: ?
1/5
DOI: 10.1056/NEJMicm2206174
#radiologist #GITwitter
CT: ?
1/5
DOI: 10.1056/NEJMicm2206174
#radiologist #GITwitter
CT: an enlarged spleen with numerous hypodense lesions (A).
CD4 cell count: 119/mm3
VIH viral load: 1778 copies/mm3
A splenectomy was performed to evaluate for cancer:
numerous necrotic nodules with purulent discharge (B).
2/5
#microbiology #gastroenterology #IDtwitter
CD4 cell count: 119/mm3
VIH viral load: 1778 copies/mm3
A splenectomy was performed to evaluate for cancer:
numerous necrotic nodules with purulent discharge (B).
2/5
#microbiology #gastroenterology #IDtwitter
🔬granulomatous inflammation with caseous necrosis (C) and acid-fast bacilli (D, arrowheads).
A tissue🧫: ➖
PCR: ➕for Mycobacterium tuberculosis
SPLENIC TUBERCULOSIS
3/5
#bacteriology #MedTwitter #GIPath
A tissue🧫: ➖
PCR: ➕for Mycobacterium tuberculosis
SPLENIC TUBERCULOSIS
3/5
#bacteriology #MedTwitter #GIPath
Been a while since I’ve done one of these.
A recent personal health related saga motivated me to put this one together. 👇
A 🧵
1/
A recent personal health related saga motivated me to put this one together. 👇
A 🧵
1/
First off, I am now fully recovered.
Thankful to the fantastic clinical teams @WRBethesda for the excellent and timely care provided. 🙏
2/
Thankful to the fantastic clinical teams @WRBethesda for the excellent and timely care provided. 🙏
2/
3 months ago, I began having post-prandial epigastric abdominal pain lasting 30-90 mins would resolve spontaneously…until one night, it just didn’t.
Pain 10/10. Could not sit still, constant with intermittently colicky. Went to the nearest ED.
3/
Pain 10/10. Could not sit still, constant with intermittently colicky. Went to the nearest ED.
3/
📣#GITwitter
Join⚕️@DCharabaty @AmyLightnerMD #DrMarlaDubinsky+ Brandon Pomish 4 #Crohns #PerianalFistula
🗓️#CPF #MNIBDWebinar Sat 2/11
🎯MultiD Mgmt
🎯Stem Cell Therapy
🎯#PatientExperience
🆓#CME👉bit.ly/CPF-MNIBD-CME
🗳️#IBDPolls👇
🔸Supported by an edu grant @TakedaPharma
Join⚕️@DCharabaty @AmyLightnerMD #DrMarlaDubinsky+ Brandon Pomish 4 #Crohns #PerianalFistula
🗓️#CPF #MNIBDWebinar Sat 2/11
🎯MultiD Mgmt
🎯Stem Cell Therapy
🎯#PatientExperience
🆓#CME👉bit.ly/CPF-MNIBD-CME
🗳️#IBDPolls👇
🔸Supported by an edu grant @TakedaPharma
1/#PreConvo #IBDPoll #Crohns #PerianalFistula
#MNIBDWebinar #CPF
🆓#CME🔗bit.ly/CPF-MNIBD-CME
🟢Where are you in your career?
#MNIBDWebinar #CPF
🆓#CME🔗bit.ly/CPF-MNIBD-CME
🟢Where are you in your career?
2/#PreConvo #IBDPoll 1️⃣
#MNIBDWebinar #Crohns #PerianalFistula #CPF
🆓#CME🔗bit.ly/CPF-MNIBD-Pre2
🟢The addition of which of the following to an anti-TNF agent is associated with a higher rate of #Crohns #PerianalFistula CPF healing vs the anti-TNF agent alone?
#MNIBDWebinar #Crohns #PerianalFistula #CPF
🆓#CME🔗bit.ly/CPF-MNIBD-Pre2
🟢The addition of which of the following to an anti-TNF agent is associated with a higher rate of #Crohns #PerianalFistula CPF healing vs the anti-TNF agent alone?
📣#GITwitter #PedsGI
⚕️Join experts @valcohranmd @Subramanian1MD ⚕️& @DCharabaty addressing the long & the short of:
🎯Optimizing care of #ShortBowelSyndrome
🏆🆓 #CME 🔗bit.ly/3wLGPzF
Supported by an edu grant @TakedaPharma
⚕️Join experts @valcohranmd @Subramanian1MD ⚕️& @DCharabaty addressing the long & the short of:
🎯Optimizing care of #ShortBowelSyndrome
🏆🆓 #CME 🔗bit.ly/3wLGPzF
Supported by an edu grant @TakedaPharma
2/#MondayNightIBD #GITwitter #PedsGI #MedEd #MedTwitter #MNIBDWebinar #BonumCE
Earn 🆓 #CME 🎫
ℹ️ 🔗 bit.ly/3wLGPzF
📸 Faculty disclosures & important CME info 👇
Earn 🆓 #CME 🎫
ℹ️ 🔗 bit.ly/3wLGPzF
📸 Faculty disclosures & important CME info 👇
3/#MondayNightIBD #GITwitter #PedsGI #MedEd #MedTwitter #MNIBDWebinar #BonumCE
🟠Full CME ℹ️ 🔗bit.ly/3wLGPzF
🟠Make sure you answer the pre-polls! 👉 bit.ly/3JOd7BU
🔴 Where are you in your career?
🟠Full CME ℹ️ 🔗bit.ly/3wLGPzF
🟠Make sure you answer the pre-polls! 👉 bit.ly/3JOd7BU
🔴 Where are you in your career?
👋#PedsGI #GITwitter
🗓️Feb 6-Join @Subramanian1MD @valcohranmd @DCharabaty
🔦#ShortBowelSyndrome
⬆️⬇️ Safety & efficacy of med tx
🔑4 your practice
🆓#CME👉bit.ly/3wLGPzF
Support by an edu grant from @TakedaPharma
🗳️#PreConvo #IBDPolls👇
🟢Where are u in ur career?
🗓️Feb 6-Join @Subramanian1MD @valcohranmd @DCharabaty
🔦#ShortBowelSyndrome
⬆️⬇️ Safety & efficacy of med tx
🔑4 your practice
🆓#CME👉bit.ly/3wLGPzF
Support by an edu grant from @TakedaPharma
🗳️#PreConvo #IBDPolls👇
🟢Where are u in ur career?
#PreConvo #IBDPoll 1️⃣
🆓#CME🔗bit.ly/3kN8m0Y
🟢The GLP-2 analog teduglutide was shown in clinical studies to be associated w/ which of the following outcomes?
🆓#CME🔗bit.ly/3kN8m0Y
🟢The GLP-2 analog teduglutide was shown in clinical studies to be associated w/ which of the following outcomes?
#PreConvo #IBDPoll 2️⃣
🆓#CME🔗bit.ly/3kN8m0Y
🟢Young adult pt w/ SBS is experiencing significant diarrhea (≥20 BM/day) despite tx w 8 mg/day loperamide.
Appropriate mgmt includes _____
🆓#CME🔗bit.ly/3kN8m0Y
🟢Young adult pt w/ SBS is experiencing significant diarrhea (≥20 BM/day) despite tx w 8 mg/day loperamide.
Appropriate mgmt includes _____
Beautiful anatomy graphics from @medics_AbuSaif
#TipsForNewDocs #MedEd #MedTwitter #medicine #medical #medicare #health #healthcare #FOAMed #ClinicalPearl #clinicaltips #MedStudents #anatomy
#TipsForNewDocs #MedEd #MedTwitter #medicine #medical #medicare #health #healthcare #FOAMed #ClinicalPearl #clinicaltips #MedStudents #anatomy
Live Q&A: Best of UEG Week 2022 twitter.com/i/broadcasts/1…
#GITwitter #MondayNightIBD
⭐️⭐️⭐️NOW - Best of #IBD @ #UEGWeek Q&A w all-star faculty ⭐️⭐️⭐️
In collab w @my_ueg
TWEET your❓❓❓below ⬇️
Supported by edu grants from @abbvie & BMS⭐️⭐️⭐️
Join now w/ @CharlieMuz @DCharabaty @Iris_Dotan @MRegueiroMD
📲Tweet your❓below
⭐️⭐️⭐️NOW - Best of #IBD @ #UEGWeek Q&A w all-star faculty ⭐️⭐️⭐️
In collab w @my_ueg
TWEET your❓❓❓below ⬇️
Supported by edu grants from @abbvie & BMS⭐️⭐️⭐️
Join now w/ @CharlieMuz @DCharabaty @Iris_Dotan @MRegueiroMD
📲Tweet your❓below
@MondayNightIBD @DCharabaty @BonumCe @TakedaPharma 2/ #MondayNightIBD #ShortBowelSyndrome #MedTwitter #GITwitter #MedPeds @BonumCe
🟠Earn #CME 🏆on Twitter!
🟠Full CME ℹ️ 🔗bit.ly/3Hgnpcf
📸 Faculty disclosures & important CME info 👇
🟠Earn #CME 🏆on Twitter!
🟠Full CME ℹ️ 🔗bit.ly/3Hgnpcf
📸 Faculty disclosures & important CME info 👇
@MondayNightIBD @DCharabaty @BonumCe @TakedaPharma 3/#MondayNightIBD
💊💉Meds = important 🛠 in mgmt of #ShortBowelSyndrome
💎Antimotility & antisecretory agents frequently used to control stool loss
💎Incl loperamide, diphenoxylate w atropine, codeine, & tincture of opium
💎Most effective ~30 min B4 meals & @ bedtime 🛏
💊💉Meds = important 🛠 in mgmt of #ShortBowelSyndrome
💎Antimotility & antisecretory agents frequently used to control stool loss
💎Incl loperamide, diphenoxylate w atropine, codeine, & tincture of opium
💎Most effective ~30 min B4 meals & @ bedtime 🛏
@MondayNightIBD @DCharabaty @BonumCe @TakedaPharma 4/Growth factors also available for #ShortBowelSyndrome
🚦Somatropin (rhGH) approved in SBS
🛑Use largely discontinued due to unacceptable toxicity & modest long-term efficacy
#MondayNightIBD
🚦Somatropin (rhGH) approved in SBS
🛑Use largely discontinued due to unacceptable toxicity & modest long-term efficacy
#MondayNightIBD
🔥 Emoroid Digest 🔥
Happy New Year! Starting off the new year with Dr. Vachaparambil's @CicilyVachaMD summary of the @AmerGastroAssn guidelines on systemic therapy for HCC!
#EmoroidDigest #GITwitter #MedTwitter
Happy New Year! Starting off the new year with Dr. Vachaparambil's @CicilyVachaMD summary of the @AmerGastroAssn guidelines on systemic therapy for HCC!
#EmoroidDigest #GITwitter #MedTwitter
🔑🔑🔑:
💊 systemic tx in🧑🤝🧑with preserved liver function
📈 AFP impacts 💊 choice
🤮 side effects & tx response guide 💊
Dr. Grace Su, Dr. Osama Altayar, Dr. Robert O’Shea, @Jarshah4, Dr. Bassam Estfan, Dr. Candice Wenzell, @sultanshaz, Dr. Yngve Falck-Ytter
💊 systemic tx in🧑🤝🧑with preserved liver function
📈 AFP impacts 💊 choice
🤮 side effects & tx response guide 💊
Dr. Grace Su, Dr. Osama Altayar, Dr. Robert O’Shea, @Jarshah4, Dr. Bassam Estfan, Dr. Candice Wenzell, @sultanshaz, Dr. Yngve Falck-Ytter
