Notes in Remote Decks::U of S IMR Anki Deck 2024

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Status	Last Update	Fields
Published	07/21/2024	Question 1
Published	07/21/2024	Question 2
Published	07/21/2024	Tagged question
Published	07/21/2024	Close {{c1::Question}} ,{{c2::Ace I }}?
Published	07/21/2024	Picture example!
Published	07/21/2024	Question with bold
Published	07/21/2024	With Special Characters
Published	07/21/2024	Chinese
Published	07/21/2024	Multi line Question
Published	07/21/2024	Reversed question
Published	07/21/2024	What are the most common causes of a hepatocellular pattern of liver enzyme elevation where ALT and AST are in the 100s ?
Published	07/21/2024	What are the most common causes of a hepatocellular pattern of liver enzyme elevation where ALT and AST are in the ?
Published	07/21/2024	What are the most common causes of a Cholestatic pattern w Duct Dilation
Published	07/21/2024	What are the most common causes of a Cholestatic pattern w/o Duct Dilation
Published	07/21/2024	Describe the management approach for Alcoholic Hepatitis
Published	07/21/2024	Contraindications to Steroids use in AH include {{c1::Uncontrolled infection, uncontrolled GI bleed, AKI}}
Published	07/21/2024	{{c1:: NAC}} can be considered in addition to Steroids as “ may improve 30d survival in Severe AH”
Published	07/21/2024	Treatments not indicated for AH {{c1:: Pentoxifylline}} , {{c2:: Prophylactic Antibiotics}} - No mortality benefit
Published	07/21/2024	Hepatitis A is diagnosed with {{c1::Anti-HAV IgM}}. Post-exposure prophylaxis includes {{c1::immunization}} for {{c2::close contacts}}, {{c2::food han…
Published	07/21/2024	For Hepatitis A endemic countries, {{c1::travelers}} and {{c1::individuals with chronic liver disease}} should also receive the vaccine.
Published	07/21/2024	Hep B status
Published	07/21/2024	Dx of Hep B: {{c1:: Hepatitis B surface antigen (HBsAg)}} and {{c1::core IgM}} are positive
Published	07/21/2024	Tx of Hep B
Published	07/21/2024	Factors which increase risk of Cirrhosis with Hep B: Host Factors include: {{c1:: Older age, Male, immunocompromised}} {{c2::coinfection with HIV/HCV/…
Published	07/21/2024	Factors which increase risk of HCC with Hep B: Host Factors include: {{c1:: Older age, male, immunocompromised,}} {{c2:: family history, born in sub-S…
Published	07/21/2024	What are the indications for using TIPS in the management of cirrhosis-related complications?
Published	07/21/2024	MASLD Definition: {{c1:: ≥5%}} of hepatocytes display macrovesicular steatosis in the absence of a readily identified alternative cause of steatosis (…
Published	07/21/2024	MASH Definiton: characterized by the presence of {{c1::inflammation}} and {{c1::cellular injury (ballooning)}}, {{c2::with or without}} fibrosis (+ He…
Published	07/21/2024	Met-ALD: {{c1:: MASLD - Fatty liver}} + {{c2:: increased ETOH intake}}
Published	07/21/2024	MASH can only be dxed definitively on {{c1:: Biopsy}} and is associated with {{c2:: T2DM, increased Lipids, HTN, Obesity, Metabolic Syndrome, OSA}}
Published	07/21/2024	MCCD in MASLD is {{c1:: Cardiovascular}}
Published	07/21/2024	{{c1::Statins}} are safe and recommended for CVD risk reduction in patients with NAFLD across the disease spectrum, including compensated cirrhosis .
Published	07/21/2024	Patients with {{c1::diabetes}} are at higher risk for MASH and advanced fibrosis and should be screened for advanced fibrosis.
Published	07/21/2024	Patients with MASLD should be screened for the presence of {{c1::T2DM}}.
Published	07/21/2024	How is Fatty Liver Disease diagnosed, and what are the treatment recommendations?
Published	07/21/2024	{{c1::≥ 3-5% }} weight loss improves liver steatosis and {{c2:: 7-10%}} weight loss in needed to improve Fibrosis.
Published	07/21/2024	Drugs with potential links to MASLD/NAFLD include: {{c1::Amiodarone}}, {{c2::5-FU}}, {{c3::Irinotecan}}, {{c4::Tamoxifen}}, {{c5::MTX}}, {{c6::Cortico…
Published	07/21/2024	Pharmacotherapy for MASLD include {{c1::Semaglutide}} for MASH+ T2DM/obesity
Published	07/21/2024	What are the indications and procedural considerations for a liver biopsy in the diagnosis of liver diseases?
Published	07/21/2024	The Child-Pugh score is used to assess the prognosis of chronic liver disease: {{c2:: 1 yr perioperative mortality for open abdominal surgery}}, prim…
Published	07/21/2024	If MELD is {{c1:: ≥15}} refer for transplant; 6 mo EtOH abstinence no longer necessary (case by case)
Published	07/21/2024	Screen for {{c1:: FRAILTY, MALNUTRITION}} in clinic, Dietician inpt
Published	07/21/2024	Cirrhosis Counselling
Published	07/21/2024	High Risk Variceal Stigmata: {{c1:: Red Wale Sign, Red Spot}}
Published	07/21/2024	Screening and Management of Varices: Primary Prophylaxis
Published	07/21/2024	Differential for Transudative Ascites
Published	07/21/2024	Patients with ascites should be {{c1::Na restricted}} {{c2:(<2g/day = 88mmol/day)}}
Published	07/21/2024	Portal HTN Ascites Management:
Published	07/21/2024	Water Restriction can be considered when {{c1:: Na
Published	07/21/2024	Diuretics should be Titrated at a {{c1:: 5:2}} ratio. Sprio: Lasix.
Published	07/21/2024	Assessin Sodium Restriction and titrating diuretics: For patients not on diuretics , do 24-hour urine Na collection: if 24-hr urine Na {{c1::<78 mmol…
Published	07/21/2024	Assessin Sodium Restriction and titrating diuretics: For Patients not on Diuretics, If 24-hr urine Na {{c1::>78 mmol}} → {{c2::NON-COMPLIANT}}
Published	07/21/2024	For patients on diuretics , do 24-hour urine Na collection → If 24-hr uNa {{c1::<78 mmol}} → {{c2:: DIURETIC-RESISTANT at current doses}} → {{c1::in…
Published	07/21/2024	For patients on diuretics, 24-hr uNa >78 mmol AND patient not losing weight → {{c1:: NON-COMPLIANT with Na restriction}} → {{c2::reinforce Na restric…
Published	07/21/2024	For patients on diuretics, 24-hr uNa >78 mmol AND {{c1::weight loss}} → {{c2::patient is adherent to sodium restriction and diuretic sensitive}} → st…
Published	07/21/2024	SBP classic presentation: {{c1::abdominal pain and fever}}
Published	07/21/2024	SBP Diagnostic Criteria: Neutrophils in ascitic fluid {{c1::> 250 cells/mm3}} OR {{c1::culture-positive ascitic fluid}}
Published	07/21/2024	SBP Tx: {{c1: Ceftriaxone (or Fluoroquinolone if Pen allergic) x 5 days}} + HRS prophylaxis: {{c1::Day 1: Albumin 1.5g/kg; Day 3: Albumin 1 g/kg}}
Published	07/21/2024	Post SBP: lifelong prophylaxis with {{c1::Norfloxacin, Septra DS, or Cipro.}}
Published	07/21/2024	Indications for SBP prophylaxis 1: {{c1: Patients who have previously had SBP→ Indefinite SBP prophylaxis}}, 2: {{c1:: Patients with cirrhosis who pr…
Published	07/21/2024	SBP proph: {{c1:: Impaired renal function}} {{c2:(Cr ≥ 106, BUN ≥ 8.9, Na ≤ 130)}}
Published	07/21/2024	SBP Proph {{c1:: Impaired liver function }}{{c2::(Child-Pugh ≥ 9 and Bili ≥ 51 umol/L)}}
Published	07/21/2024	{{c1::Hemochromatosis}} is autoimmune recessive and is typically diagnosed based on genetic testing revealing mutations in the {{c2::HFE gene}}, commo…
Published	07/21/2024	Type 1A hemochromatosis: {{c1::C282Y homozygous}} = confirms diagnosis of HH
Published	07/21/2024	Genotypes that do not lead to clinically significant iron overload = {{c1::C282Y/ wildtype}}, {{c2::H63D/ wildtype}}, {{c3:H63D homozygote}}, {{c4:S65…
Published	07/21/2024	HH Clinical Presentation: Iron deposition in end-organs:
Published	07/21/2024	ACG HH 2019 Algorithm
Published	07/21/2024	HH Counselling
Published	07/21/2024	HH HCC screening: {{c1:: Only if cirrhosis.}} ACG recommends against screening if fibrosis ≤ stage 3.
Published	07/21/2024	HH Other Heterozygotes: {{c1:: Monitor iron indices annually + assess for organ damage}}, no treatment needed
Published	07/21/2024	Diagnosis of Celiac Dz- imaging: {{c1::Upper endoscopy with small-bowel biopsy}}
Published	07/21/2024	Celiac Dz Dx: HLA DQ2/DQ8 Testing
Published	07/21/2024	Celiac Dz Dx: HLA DQ2/DQ8 Testing {{c1::Should NOT be routinely ordered (poor PPV) }} Consider if…
Published	07/21/2024	Which Foods are gluten containing: BROW : {{c1:: Barley, Rye, Oats (*often Contaminated), Wheat}}
Published	07/21/2024	Follow up fr Celiac Dz: Ensure Adherence: {{c1:: Diet Hx }}, {{c2:: ↓ antibody titres +/- improvement of histology}}, {{c3:: Follow up Serology 6 and…
Published	07/21/2024	Patients with persistent symptoms of Celiac Dz despite negative serology should undergo {{c1::repeat biopsy to determine healing*}}
Published	07/21/2024	Celiac Dz Further workup includes: {{c1::Micronutrient measurements (Fe, folate, Vit D, B12)}} and {{c1: BMD per guidelines}}
Published	07/21/2024	Celiac disease is related to what malignancy: {{c1::Enteropathy-associated T cell lymphoma (EATL)}}
Published	07/21/2024	Dermatitis Herpetiformis (DH): Up to {{c1::25% of patients}} with CD have DH
Published	07/21/2024	Dermatitis Herpetiformis (DH): Responds to: {{c1::Gluten-free diet }}(Takes months to work) & {{c1::Dapsone}} ( must R/O G6PD deficienc y)
Published	07/21/2024	Who to screen for Celiac Disease?
Published	07/21/2024	Crohns’ Dz characterized by: {{c1::Transmural inflammation}}, {{c2::strictures and fistulas}}, that {{c3::can affect anywhere in the GI tract from ‘gu…
Published	07/21/2024	Crohns almost always involves the {{c1::Terminal Ileum}}
Published	07/21/2024	Crohn’s Dz: Common disease locations: {{c1::Small bowel - terminal ileal involvement is most common}}, {{c2:: Ileocolitis}}, {{c3::Colonic}}, {{c4::M…
Published	07/21/2024	Clinical Manifestations of Crohns’ Dz: {{c1::Abdominal pain, diarrhea, weight loss}} {{c2: fever}}, {{c3::peri-anal symptoms}}
Published	07/21/2024	Clinical [Lab] Manifestations of Crohns’ Dz: {{c1::↑ CRP, anemia, ↓ Albumin, ↓ Fe, ↓ B12, ↑ fecal calprotecdn}}
Published	07/21/2024	Crohn’s Dz Dx: {{c1::Ileocolonoscopy & biopsy}} Gold Standard
Published	07/21/2024	Scope Findings of Crohns: {{c1::Patchy inflammation, skip lesions, aphthous ulcers, cobble-stone mucosa}}
Published	07/21/2024	{{c1::Sulfasalazine}} can be considered only for mild colonic Crohn’s disease. 5-ASAs are NOT effective for Crohn’s ileitis, fistulizing or moderate-s…
Published	07/21/2024	Crohns Tx: Induction for Mod-Severe Dz:{{c1:Budesonide}}, {{c2::Prednisone/methylpred}}, {{c3:MTX}}, {{c4:Anti-TNF–Infliximab(Remicade), Adalimumab (…
Published	07/21/2024	{{c1:: SONIC}} Trial: More severe Crohn’s = Affecting lifestyle, high CRP, low alb, complications, deep ulceration on endoscopy. {{c2:: When starting …
Published	07/21/2024	Fistulas (any kind) → {{c1::Biologic}}
Published	07/21/2024	Perianal disease (abscesses or fistulae) → {{c1::Anti-TNF (+/- antibiotics if concern for infection)}}
Published	07/21/2024	JAK {{c1::Tofacitinib}} not approved for CD (only UC)
Published	07/21/2024	Once remission achieved, generally {{c1::continue the agent that induced remission (except steroids)}}
Published	07/21/2024	Alternative therapies CAG Recommends against: {{c1::Probiotics, Marijuana, Dietary modification, Omega fatty acids}}
Published	07/21/2024	Indications for surgery in Crohn’s disease : {{c1::Intestinal obstruction}}, {{c2::refractory/ fulminant disease, {{c3:high-grade dysplasia/ cancer}}…
Published	07/21/2024	Tx for Crohn’s Complications: Abscess : {{c1::Drain (IR or I+D or surgery) and antibiotics}}
Published	07/21/2024	Tx for Crohn’s Complications: Fistula : Characterize perianal fistulae w/ {{c1::EUS (endoscopic ultrasound)}} or {{c1::MRI pelvis +/- EUA (exam under…
Published	07/21/2024	Tx for Crohn’s Complications: “Cold” Stricture : {{c2::Fibrostenotic disease}}, no active inflammation on imaging or endoscopy → {{c1::Conservative m…
Published	07/21/2024	Tx for Crohn’s Complications: “Hot” Stricture : {{c1::Active inflammation}} (may be overlying area of fibrosis/ cold stricture) → {{c2:: Steroid brid…
Published	07/21/2024	{{c1::Ulcerative Colitis}} is an Immune-mediated condition of the colon often associated with {{c2:: rectal inflammation}} , extending proximally to i…
Published	07/21/2024	UC Disease Location: {{c1::Proctitis}} → {{c4::w/in 18 cm from the anal verge}}, {{c2::Left-sided colitis}} → ((c5::sigmoid to splenic flexure}}, {{c…
Published	07/21/2024	Clinical Manifestions of UC: {{c1::‘Proctitis’ – small volume + frequent BMs w/ blood}}, {{c2::tenesmus}},{{c3:: urgency}}, {{c3::crampy abdominal pai…
Published	07/21/2024	Diagnosis of UC: {{c1:: Ileocolonoscopy + biopsies}} GOLD STANDARD
Published	07/21/2024	Scope Findings of UC: {{c1::Continuous inflammation from rectum proximally}}, {{c2:: Granular, friable mucosa}}
Published	07/21/2024	Bx Fidings of UC: {{c1:: crypt abscesses}}, {{c2::lamina propria cellularity}}
Published	07/21/2024	Ulcerative Colitis Tx: Induction for Mod - Severe Dz: {{c1:Budesonide}}, {{c2::Prednisone/methylpred}}, {{c3:MTX}}, {{c4:Anti-TNF–Infliximab(Remicade…
Published	07/21/2024	“Small molecules” Approved in UC not CD: {{c1::JAK-inhibitor – Tofacitinib, upadacitinib}} (Approved 2023), {{c2::Sphingosine 1-phosphate receptor mod…
Published	07/21/2024	Ulcerative Colitis Tx: Maintanance for Mild Dz : {{c1::5-ASA PO}} (extensive), {{c1:5-ASA PR}} (proctitis)
Published	07/21/2024	Ulcerative Colitis Tx: Maintanance for Mod-Severe Dz : {{c1::Thiopurine(AZP,6-MP)}}, {{c2::Anti-TNF – Infliximab,Adalimumab, Golimumab}}, {{c3::Anti…
Published	07/21/2024	{{c1::UC SUCESS}} Trial:: {{c2::When starting anti-TNF, combine with a thiopurine (6-MP/AZA)}}
Published	07/21/2024	PRE-BIOLOGIC W/U: {{c1:: HBV}}, {{c2::HCV}}, {{c3::TB Skin Test (Mantoux), IGRA/ CXR if BCG Vaccinated}},{{c4:: VZV Titres; ( xx some biologics requir…
Published	07/21/2024	Before starting AZA/6-MP: check {{c1::TMPT}}
Published	07/21/2024	{{c1:: Budd Chiari Syndrome}}, characterized by hepatic venous outflow obstruction, is diagnosed through imaging studies such as {{c2::ultrasound, C…
Published	07/21/2024	Approach to IBD Flare: 1. {{c1: Rule out C. diff/ other infection if worsening diarrhea (even if no recent antibiotics)}}. 2. Rule out abscess in a Cr…
Published	07/21/2024	{{c1::Bile-salt diarrhea}} occurs with ileitis or after ileal resection: In these patients ALWAYS assess for {{c2::IBD (CT or C Scope)}} and {{c3::tre…
Published	07/21/2024	Tx for Bile Salt Diarrhea is {{c1::cholestyramine (bile acid sequestrant)}}
Published	07/21/2024	Management for Inpatient IBD flare includes: {{c1::IV fluids, bowel rest, VTE prophylaxis}}, {{c2::Minimize narcotics, NSAIDS}}, {{c3::Start IV steroi…
Published	07/21/2024	When managing IBD flare If minimal response after ~ 72h IV steroids→ {{c1::Infliximab}}
Published	07/21/2024	Indications for colectomy in Ulcerative Colitis : {{c1::Toxic megacolon}}, {{c2::colonic perforation}}, {{c3::severe refractory hemorrhage}}, {{c4::re…
Published	07/21/2024	UGIB Management (Pre -Endoscopy) includes: ABC’s, Monitoring, O2, {{c1:: 2 Large Bore IVs}}, {{c2:: Fluids}}
Published	07/21/2024	UGIB: Risk Stratification Score: {{c1:: Glasgow Blatchford Score}}
Published	07/21/2024	UGIB w/U: {{c1:: CBC}} , {{c2: Urea, Cr}}, {{c3:: Type + Crossmatch}} , {{c4::Coags : INR/ PTT}}, {{c5:: LFTS, Albumin}}
Published	07/21/2024	Transfuse if {{c1:: Hb< 70}} or {{c2::PLT<50 with active blleding/instability}}
Published	07/21/2024	Can consider Transfusion threshold of 80 in the following population: {{c1:: Symptomatic}}, {{c2:: Active Cardiac Ischemia}}, {{c3::Unstable}}
Published	07/21/2024	{{c1::TXA/Tranxemic Acid}} does not reduce mortality in UGI Bleed – do not use routinely!
Published	07/21/2024	PPI Therapy for UGIB (pre-Endoscopy) : {{c1::Pantoprazole 80 mg IV bolus then 40 mg IV BID}} or {{c1::Pantoprazole 80 mg IV bolus then 8 mg/hr IV inf…
Published	07/21/2024	Approach to UGIB in Cirrhotic: 1. {{c1:: Restrictive Transfusion Strategy: target 70-90 g/dL}} 2. Addition of Vasoactive Agent {{c1:: Octreotide 50 mc…
Published	07/21/2024	Following Variceal Bleed + EVL: Initiate {{c1:: NSBB}} when Vasoactive medications stopped.
Published	07/21/2024	Contraindications to TIPS include: {{c1:: Hepatic Encepatholopahty}}, {{c2::HCC}}
Published	07/21/2024	Non-Variceal UGIB: Pretreat: {{c1:: Erythromycin 250 mg IV suggested 30 min before endoscopy}}. Endoscopy should be performed within {{c2:: 24 hours}}…
Published	07/21/2024	Endoscopic therapy only for high-risk ulcers {{c1::(Forest IA, IB, IIA ulcers)}}
Published	07/21/2024	If ongoing UGIB/ Re-Bleeding; {{c1:: Repeat EGD}} + Consider {{c1:: IR Embolization/ Surgica Management}}
Published	07/21/2024	Post- Endoscopy: High-Risk Ulcers → {{c1:: IV PPI BID/ PPI infusion x 72 hrs}} then {{c2:: Oral PPI BID x at least 2 weeks}} after endoscopy.
Published	07/21/2024	Post- Endoscopy: LOW- Risk Ulcers → {{c1::PO PPI; typically BID x 2-4 Weeks then stop}}
Published	07/21/2024	In UGIB: Restarting OAC or antiplatelets (or both) is {{c1::not associated with increased GI bleed risk}} compared to not restarting, but IS {{c2:: as…
Published	07/21/2024	In UGIB: Test all patients with PUD or gastritis for {{c1:: H.pylori}} – can biopsy at time of EGD or check serology
Published	07/21/2024	H. Pylori Tx: Treat with quadruple therapy if positive: First Line: {{c1:: PBMT or PAMC x 14 days}}
Published	07/21/2024	In UGIB: Stop all unnecessary {{c1::NSAIDs}}, stop {{c1::ASA}} for primary prophylaxis
Published	07/21/2024	For CV patients with UGIB requiring ongoing ASA and/or Plavix, consider {{c1::indefinite PPI prophylaxis}}
Published	07/21/2024	{{c1::Indefinite PPI}} if unclear cause of PUD (conditional recommendation)
Published	07/21/2024	Anti-thrombotic management in the elective endoscopy setting*:
Published	07/21/2024	H. Pylori ↑ risk of {{c1::gastric cancer}}
Published	07/21/2024	Who to test for H. Pylori: {{c1:: PUD}}, {{c2:: MALT lymphoma}}, {{c3::resected early gastric cancer}},{{c4:: uninvestigated dyspepsia*}}, {{c5::long-…
Published	07/21/2024	H.Pylori associated with this cancer more specifically: {{c1:: MALT Lymphoma}}
Published	07/21/2024	H. Pylori Dx to detect current Infxn: {{c1:: Stool Antigen, Histology , Biopsy + Culture, Urea Breath Test}}
Published	07/21/2024	H. Pylori Dx to detect current/ prior Infxn: {{c1:: Serology i.e: Serum igG}}
Published	07/21/2024	Treatment failure for H. Pylori: {{c1::PBMT (if prior triple-therapy) x 14 days}} OR {{c1::PPI/Amoxicillin/Levofloxacin (PAL) x 14 days}}
Published	07/21/2024	Confirm eradication in all treated patients with {{c1:: Urea breath test}}, {{c2:: stool antigen test}}, or {{c3::repeat gastric biopsy}}. Wait {{c5: …
Published	07/21/2024	GERD + Alarm Symptoms {{c1::Dysphagia, Weight loss, GI Bleed}} → {{c1::EGD}}
Published	07/21/2024	GERD + NO Alarm Sxs: 1. Non Pharm: {{c1:: Weight loss, Avoid Trigger foods, Quit smoking, Elevate HOB. e.tc }} 2. Trial {{ c2:: PO PPI Daily}} 30-60 m…
Published	07/21/2024	GERD w NO alarm Sxs and Sxs improve after PPI Trial : {{c1::Wean PPI/ Use lowest Dose Possible}}
Published	07/21/2024	GERD w NO alarm Sxs and Sxs REFRACTORY: {{c1:: Ensure optimization of PPI therapy}} → Sx refractory despite optimization → {{c2::EGD off PPI}}, if no…
Published	07/21/2024	ACG Guidelines Recommend {{c1::AGAINST}} other medical therapies (prokinetics, sucralfate, baclofen, H2RA) in PPI nonresponders (Exception: {{c1::sucr…
Published	07/21/2024	Extra-esophageal symptoms (cough, asthma, chest pain) need usual workup {{c1::(PFT, cardiac w/u)}}
Published	07/21/2024	Surgical Management of GERD [only for objective evidence of GERD] includes:{{c1:: Nissl Fundoplication}}, {{c1:: Roux en Y bypass}} for eligible obese…
Published	07/21/2024	Barrett’s Esophagus Dx: {{c1::Metaplasia of normal squamous epithelium to salmon-coloured columnar epithelium}} {{c2::≥ 1 cm proximal to the gastr…
Published	07/21/2024	Barret’s Eso has a {{c1::30 fold}} ↑ risk of esophageal adenocarcinoma vs average population
Published	07/21/2024	Of note: Alcohol {{c1::DOES NOT}} increases risk of Barrett’s/ Esophageal Adenocarcinoma, only SCC
Published	07/21/2024	Barrets Screening: CTS Guideline: We recommend {{c1::not screening adults (≥ 18 years)}} with chronic GERD for esophageal adenocarcinoma or precursor …
Published	07/21/2024	IF SEE EVIDENCE OF BARRETS ON EGD: Obtain {{c1::≥8 biopsies}} if >1cm salmon mucosa extending from GE jxn
Published	07/21/2024	Barrets Bx shows No Dysplasia = {{c1::EGD in 3y if >3cm segment, otherwise in 5 yrs}}
Published	07/21/2024	Barrets Bx shows Indefinite Dysplasia = {{c1::PPI BID*}}, repeat EGD w biopsy in {{c2::6 mos}}
Published	07/21/2024	Barrets Bx shows Dysplasia = {{c1:: Low Grade Dysplasia }} → discuss risk/benefit of surveillance vs EET [Endoscopic eradication therapy]
Published	07/21/2024	Barrets Bx shows Dysplasia = Low Grade Dysplasia → Surveillance endoscopy {{c1::q6mos x 2 then annually}}
Published	07/21/2024	Barrets Bx shows Dysplasia = Low Grade Dysplasia → Endoscopic eradication therapy→ complete eradication → surveillance endo {{c1::1 year then q2y}} …
Published	07/21/2024	Barrets Bx shows Dysplasia = High Grade Dysplasia or intramucosal carcinoma (T1a) → {{c1::Endoscopic eradication therapy}} → complete eradication →…
Published	07/21/2024	Barrets Bx shows Dysplasia = Submucosal cancer (T1b) → {{c1:: Surgical referral for esophagectomy}}
Published	07/21/2024	Barrets Bx shows No metaplasia → Repeat endo w biopsy in {{c1::1-2yrs}}
Published	07/21/2024	2 key elements for the diagnosis of asthma
Published	07/21/2024	5 Clinical Phenotypes of Asthma
Published	07/21/2024	Define Asthma
Published	07/21/2024	Define Uncontrolled and Severe Asthma
Published	07/21/2024	Oral steroids for 50% of the year to maintain control (or remaining uncontrolled) Asthma requiring high dose ICS + 2nd controller for the previous yea…
Published	07/21/2024	How does cTS define risk of severe asthma?
Published	07/21/2024	How does CTS define severe asthma exacerbation?
Published	07/21/2024	Non-pharmacological treatment of asthma
Published	07/21/2024	Treatment for Exercise Induced Asthma
Published	07/21/2024	Treatment for Pregnancy related asthma
Published	07/21/2024	Treatment for seasonal allergic asthma
Published	07/21/2024	Treatment of ASA Exacerbated Respiratory Disease
Published	07/21/2024	What are 5 ways of testing variability in asthmatics?
Published	07/21/2024	Which patients with COPD would benefit from chronic NIV?
Published	07/21/2024	Which patients with COPD would benefit from lung-volume reduction surgery?
Published	07/21/2024	Which patients with COPD would benefit from a lung transplant?
Published	07/21/2024	When do given antibiotics for ACOPDE
Published	07/21/2024	increased purulence, then only need ⅔ Smoking Cessation Approach
Published	07/21/2024	What is bronchiectasis?
Published	07/21/2024	What are the causes of bronchiectasis?
Published	07/21/2024	Work-up for bronchiectasis
Published	07/21/2024	Treatment of Bronchiectasis Exacerbation
Published	07/21/2024	What is Interstitial Lung Disease?
Published	07/21/2024	Types of ILD based on Cause
Published	07/21/2024	General Approach ILD (H&P and Investigations)
Published	07/21/2024	What is the most common Idiopathic Interstitial Pneumonia (IIP) ? Commonly associated RF to this form of IIP? Diagnosis criteria?
Published	07/21/2024	What are features of Usual Interstitial Pneumonia (UIP) on HRCT
Published	07/21/2024	Treatment of IPF
Published	07/21/2024	How to treat acute IPF exacerbation
Published	07/21/2024	General Treatment Principles for ILD (CTS 2018 Position Statement)
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