Complicated Cases in Gi

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  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2009-02-15
  • Publisher: Slack Incorporated

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Dr. Anthony Kalloo and Dr. Jonathan M. Buscaglia have taken years of experience at Johns Hopkins Hospital and created a collection of unique and interesting cases revolving around gastrointestinal and liver diseases. Complicated Cases in GIfollows patient-physician interactions and includes over 50 cases that are complex in their nature, interesting in their presentations, or a representation of a unique therapeutic challenge. Each chapter case includes: bull; A detailed summary of a particular patient presentation bull; Associated pathology slides, radiology films, or endoscopy photographs bull; A brief evidence-based discussion focusing on the main learning objectives bull; Three to five key learning points listed to highlight the most important features Complicated Cases in GIalso includes 150 board review-like questions taken directly from the cases themselves. The questions highlight the salient aspects and are meant to reinforce the learning objectives involved in each case. They will also serve as a useful study aid for anyone preparing for an examination in general medicine, gastroenterology or hepatology. Complicated Cases in GIis ideal for residents, fellows, practicing physicians preparing for recertification, nurses, and students looking for a quick reference text that can be read and absorbed over time-one case at a time.

Author Biography

Jonathan Buscaglia, MD is a board-certified internal medicine physician and gastroenterologist specializing in therapeutic endoscopy. He completed medical school at the State University of New York at Buffalo, and then trained in internal medicine at Montefiore Medical Center, part of the Albert Einstein College of Medicine. From there, he completed both his general gastroenterology fellowship and his advanced endoscopy training at the Johns Hopkins Hospital, where he later served on the faculty as Instructor of Medicine. Currently, he is a full-time faculty member and Assistant Professor of Medicine at the State University of New York at Stony Brook. He serves as the Director of Endoscopy at Stony Brook University Medical Center, and also as Visiting Assistant Professor of Medicine at Johns Hopkins University School of Medicine. He is the former editor for the Fellows’ Corner section of Gastrointestinal Endoscopy (GIE), the premier peer-review journal for advanced endoscopy. He is currently a member of GIE’s Editorial Review Board, and associate editor for the DAVE Project (Digital Atlas of Video Education); an educational Web site dedicated to teaching advanced diagnostic and therapeutic endoscopy. Anthony Kalloo, MD is Professor of Medicine at Johns Hopkins University School of Medicine and is the Director of The Division of Gastroenterology and Hepatology at Johns Hopkins. After receiving his medical degree from the University of West Indies Medical School, Dr. Kalloo interned and trained in Internal Medicine at Howard University Hospital in Washington, D.C. He completed his fellowship training program at the combined Georgetown University, VA Medical Center and NIH program. He was an Instructor in Medicine at Georgetown University prior to joining the faculty at Johns Hopkins in 1988. He has special interests in Natural Orifice Surgery, therapeutic endoscopy, biliary and pancreatic diseases, and sphincter of Oddi dysfunction. He is the pioneer of Natural Orifice Translumenal Endoscopic Surgery and is a past Panel Chair for Gastroenterology and Urology Devices with the United States Food and Drug Administration. He is a past Associate Editor for Gastrointestinal Endoscopy. He is a member of the Apollo group, a think-tank endoscopy group. Dr. Kalloo and the Division of Gastroenterology and Hepatology aim to advance the understanding, diagnosis, treatment, and prevention of gastrointestinal and liver disease through patient care, education, and research.

Table of Contents

Dedicationp. v
Acknowledgmentsp. xi
About the Editorsp. xiii
Contributing Authorsp. xv
Prefacep. xvii
Introductionp. xix
Forewordp. xxi
Endoscopic Therapy for an Esophageal Dissectionp. 3
A 63-Year-Old Man With Intractable Hiccupsp. 7
"When I Eat, Food Gets Stuck"p. 11
A Benign Form of Progressive Dysphagiap. 15
A Rare Form of Esophageal Toxicityp. 19
Diffuse Squamous Cell Dysplasia of the Esophagusp. 23
Abdominal Pain and an Ovarian Massp. 29
Fever, Flood Water, and Gastritisp. 33
A 53-Year-Old Woman With a Pelvic Massp. 37
AIDS and Nodular Gastric Antritisp. 41
Twisted Turn of Eventsp. 45
A Rare Cause of Steatorrhea, Weight Loss, and Failure to Thrivep. 49
A 73-Year-Old Woman With a "Juvenile" Diseasep. 53
A Surprising Cause for Bleeding Gastric Varicesp. 57
Small Intestine
Postprandial Pain and Eosinophiliap. 63
A Rare Cause of Gastrointestinal Bleeding in an Adultp. 67
A 58-Year-Old Woman With Fistulizing Crohn's Diseasep. 71
Not Your Average Case of Diverticulitisp. 75
Diarrhea and Weight Loss in a Healthy Young Womanp. 79
Small Bowel Arterio-Venous Malformationp. 83
Capsule Retention in Small Bowel Diverticulosisp. 87
A 53-Year-Old Man With Crohn's Disease and Renal Failurep. 89
Difficult-to-Diagnose Cecal Massp. 93
Ulcerative Colitis Presenting With a Rectal Massp. 97
Crohn's Disease or Behcet's Syndrome?p. 101
A 76-Year-Old Male With Chronic Watery Diarrheap. 105
Sessile Serrated Adenomas: A Lesion Not to be Missedp. 109
Colonic Obstruction in a Patient With Multiple Medical Problemsp. 113
Right Lower Quadrant Pain in a 39-Year-Old Womanp. 117
Abdominal Distention Within the Intensive Care Unitp. 121
Rectal Bleeding Following Craniotomyp. 125
Constipation and Decreased Urinary Output in a 32-Year-Old Malep. 129
An Unusual Cause of Ileo-Colonic Obstructionp. 133
An Opportunistic Infection Masquerading as Crohn's Diseasep. 137
An Unusual Cause of Recurrent Acute Pancreatitisp. 147
A 74-Year-Old Male With Refractory Diarrheap. 151
Diarrhea, Abdominal Pain, and a Dilated Biliary Treep. 155
Biliary Drainage Through the Minor Papilla?p. 159
Elevated Serum Alkaline Phosphatase in an Asymptomatic Patientp. 161
Progressive Ascites in a Patient From Sierra Leonep. 167
Hyperemesis Gravidarum and Ataxiap. 171
Fulminant Hepatic Failure Following an Elective Colonoscopyp. 175
New-Onset Jaundice in a Bodybuilderp. 179
An Uncommon Cause of Ascitesp. 183
Elevated Liver Enzymes After In Vitro Fertilizationp. 187
Elevated Alkaline Phosphatase Level and Renal Cell Carcinomap. 191
Fever and a Baltimore Alleywayp. 195
Fulminant Hepatic Failure Following a Walk in the Woodsp. 199
Primary Hepatic B-Cell Lymphoma Masquerading as a Liver Abscessp. 203
Seaside Septicemiap. 207
GI Manifestations of Systemic Diseases
Unexpected Cause for Persistent Nausea and Vomitingp. 213
New-Onset Dysphagia and Electrolyte Disturbancep. 217
An Unusual Cause of Ascites and Gastrointestinal Hemorrhagep. 221
Gastrointestinal Bleeding and a Purpuric Rashp. 225
A Strange Cause for Weight Lossp. 229
An Inherited Form of Abdominal Pain, Fever, and Arthritisp. 233
Abdominal Pain Following Liver Transplantationp. 237
An Unusual Presentation of Acute Recurrent Pancreatitisp. 241
An Extraordinary Right Ankle Woundp. 245
Test Questions and Answers
Test Questionsp. 249
Test Answersp. 269
Indexp. 275
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