Clinical outcome of 55 asymptomatic cases at the time of hospital admission infected with SARS-Coronavirus-2 in Shenzhen, China " 3.6% asymptomatic SARS-CoV-2 infection might take a turn for the worse" - March 2020 Journal of Infectious Disease #coronavirus
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GI will sign off. Please call with questions. Can follow up with me as an outpatient. Message sent to clinic.
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Low fat diet on discharge. GI will sign off. Please call with questions. Can follow up with me as an outpatient. Message sent to clinic.
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Await pathology results. The patient should be on Pantoprazole 40 mg p.o. BID for six weeks on discharge. The patient needs to follow up with me [] to discuss a repeat EGD in 6 weeks. Message was sent to clinic for follow up. Most likely source of bleeding was the gastric and duodenal ulcers. Avoid alcohol and NSAIDs. Differential diagnosis for gastric ulcer includes gastric cancer although less likely. Differential for gastritis includes H. Pylori infection
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EUS referral form given to patient, instructed to make an appointment []. Patient can also come see me in clinic [] to facilitate referral.
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"Dose-ranging studies have not been
performed to de ne an optimal dose or schedule of administration,
although most clinicians administer parenteral corticosteroids
equivalent to 40 – 60 mg of prednisone in divided doses" Severe Crohn's disease flare
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Adalimumab for Maintenance of Clinical Response and Remissionin Patients with Crohn's Disease; The CHARM Trial. Remission at week 56, 36% for every other week group.
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Vedolizumab in IBD. Crohn's disease, clinical response and remission were achieved in 54% (95% confidence interval (CI) 41-66%) and 22% (95% CI 13-35%) by week 6 and in 49% (95%CI 37-51%) and 32% (95%CI 23-42%) by week 14. Ulcerative colitis, clinical response and remission was achieved in 43% (CI 95% 37-49) and 25% (CI 95% 12-45) by week 6 and in 51% (95%CI 43-61%)and 30% (95%CI 24-36%) by week 14/22; at week 52, clinical response and remission.
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EUS referral form given to patient, instructed to make an appointment []. Patient can also come see me in clinic [] to facilitate referral. Small risk of pancreatic cancer. Ordered CEA and CA 19-9.
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Pancreatic Mass - EUS referral form given to patient, instructed to make an appointment. Patient can also come see me in clinic to facilitate referral. Small risk of pancreatic cancer. Ordered CEA and CA 19-9. Gastroenterology will sign off. Please call with questions. Can follow up with me in clinic.
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