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Intestinal endometriosis can appear as subepithelial nodules. They can expand with cycles and cause cramping.
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Typhlitis occurs with neutropenia and can present as a thickened cecum on ct. Pursue conservative management with broad antibiotics. ...Read more


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The lactulose breath test can be used to detect bacterial overgrowth. Small intestinal bacterial overgrowth can cause symptoms such as bloating and abdominal pain. It occurs when there is an excessive number of bacteria in the small intestine. Diabetes can be a risk factor for bacterial overgrowth. The test takes about three hours. If the test is positive, then patients can be treated with antibiotics.
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The glucose breath test is another diagnostic exam for small intestinal bacterial overgrowth. It is rapidly absorbed by the intestine. Lactulose could travel all the way to the colon, leading to a false positive test. Research with nuclear imaging has been done to determine the exact time of lactulose reaching the colon.
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Symptoms of small intestinal bacterial overgrowth include abdominal distension, flatulence, bloating, diarrhea, and abdominal pain. The definitive diagnosis of SIBO involves the presence of 10^5 colony forming units per milliliter of coliform bacteria isolated from the proximal jejunum. This is difficult to sample with endoscopy so breath testing is an alternative method of diagnosis. Weight loss and nutritional deficiency are possible.
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Intestinal endometriosis can appear as subepithelial nodules. They can expand with cycles and cause cramping.
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"The American Society for Gastrointestinal Endoscopy (ASGE) acknowledged that the minimal platelet threshold for endoscopy has not been established[1]. In 2012, based on limited data[2-4], ASGE guidelines concluded that a platelet level of 20000/mm3 or greater can be used as a threshold for performing diagnostic upper endoscopies, but a threshold of 50000/mm3 may be considered before performing biopsies"
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International Normalized Ratio Does Not Predict Gastrointestinal Bleeding After Endoscopic Retrograde Cholangiopancreatography in Patients With Cirrhosis
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REVIEW OF SYSTEMS -CONSTITUTIONAL: No weight loss, fever, chills, weakness or fatigue. -HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat. -SKIN: No rash or itching. -CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema. -RESPIRATORY: No shortness of breath, cough or sputum. -GASTROINTESTINAL: Per HPI. No hematemesis, hematochezia, or melena. -GENITOURINARY: No burning on urination. -NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control. -MUSCULOSKELETAL: No muscle, back pain, joint pain or stiffness. -HEMATOLOGIC/LYMPHATICS: No anemia, bleeding or bruising. No enlarged nodes. No history of 
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ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes. Serrated polyposis syndrome.
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Gastrointestinal fistula endoscopic closure techniques #gastro
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