Nurse-Gastroenterology (CGRN) CE

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About StatPearls CE

All of our activities are approved by ANCC (LVN, RN, and CNS) and all activity is reported to CE Broker and all states as required. StatPearls continuing education activities are linked to practice questions which are based on the American Board of Certification for Gastroenterology Nurses® content outlines. 355 authors and 11 editors have contributed to the development of the Nurse-Gastroenterology (CGRN) content, which is continuously refined and updated to improve your learning experience.

Nurse-Gastroenterology (CGRN) Activities

Title Description Hours Questions
Abdominal Compartment Syndrome Abdominal compartment syndrome occurs when the pressure in the abdominal cavity elevates beyond 20 mmHg. It is associated with multiorgan dysfunction. ... Read the Article 1 6 Activity Info
Acalculous Cholecystitis Acalculous cholecystitis is a hypokinetic condition of gallbladder emptying. It often presents as an acute ailment (acute cholecystitis), but it can a ... Read the Article 1 5 Activity Info
Achalasia Achalasia is an esophageal smooth muscle motility disorder that occurs due to a failure of relaxation of the lower esophageal sphincter. This conditio ... Read the Article 1.5 14 Activity Info
Achlorhydria Achlorhydria is a condition in which the stomach does not produce hydrochloric acid, one of the components of gastric acid. Hydrochloric acid plays an ... Read the Article 1 7 Activity Info
Acute Abdomen An acute abdomen is a condition that demands urgent attention and treatment. The acute abdomen may be caused by an infection, inflammation, vascular o ... Read the Article 1 4 Activity Info
Acute Anemia Acute anemia occurs when there is an abrupt drop in red blood cells, usually due to acute hemorrhage or hemolysis. This activity reviews the presentat ... Read the Article 1 3 Activity Info
Acute Cholecystitis Acute cholecystitis is inflammation of the gallbladder that occurs due to occlusion of the cystic duct or impaired emptying of the gallbladder. Often ... Read the Article 1.5 17 Activity Info
Acute Diverticulitis Acute diverticulitis is inflammation of a diverticulum, a sac-like protrusion from the colon wall, due to micro-perforation. Diverticulitis presents i ... Read the Article 1.5 15 Activity Info
Acute Hepatitis Acute hepatitis is a term used to describe a wide variety of conditions characterized by acute inflammation of the hepatic parenchyma or injury to hep ... Read the Article 1.25 7 Activity Info
Acute Liver Failure Acute liver failure is defined as severe acute liver injury for fewer than twenty six weeks duration with encephalopathy and impaired synthetic functi ... Read the Article 1 3 Activity Info
Acute Mesenteric Ischemia Acute mesenteric ischemia is caused by a sudden decline in blood flow through the mesenteric vessels. Diagnosis can be difficult because symptoms are ... Read the Article 1.5 15 Activity Info
Acute On Chronic Liver Failure Acute on chronic liver failure is a clinical syndrome of sudden hepatic decompensation observed in patients with pre-existing chronic liver disease. A ... Read the Article 1 6 Activity Info
Acute Pancreatitis Acute pancreatitis is the leading cause of gastrointestinal-related hospitalization in the United States, and its frequency continues to rise in the ... Read the Article 2 28 Activity Info
Afferent Loop Syndrome This activity reviews the etiology, evaluation, and management of afferent loop syndrome (ALS), with particular attention to the difference in managem ... Read the Article 1 7 Activity Info
Alcohol Sanitizer Compliance with hand hygiene recommendations is critical to reducing colonization and infection, specifically among healthcare workers (HCW). This wil ... Read the Article 1 3 Activity Info
Alcoholic Hepatitis Alcoholic hepatitis is a severe syndrome related to alcoholic liver disease. It is characterized by rapid onset of jaundice, malaise, tender hepatomeg ... Read the Article 1 5 Activity Info
Alcoholic Liver Disease The first stage of alcoholic liver disease is hepatic steatosis, which involves the accumulation of small fat droplets under liver cells approaching t ... Read the Article 1.25 12 Activity Info
Alosetron Alosetron is a medication used to manage and treat severe diarrhea-predominant irritable bowel syndrome (IBS-D). It is in the class of 5-HT receptor a ... Read the Article 1 5 Activity Info
Aluminum Hydroxide Aluminum hydroxide is a medication used in the management and treatment of acid indigestion. It is in the antacid class of drugs. This activity outlin ... Read the Article 1 7 Activity Info
Amebic Colitis Amebic colitis results from invasive infection of the colonic mucosa by Entamoeba histolytica (E. histolytica). Losch first reported disease due to E. ... Read the Article 1 5 Activity Info
Amebic Liver Abscess Amebic liver abscess is the most common extra-intestinal manifestation of the protozoan, Entamoeba histolytica. The life cycle involves consumption of ... Read the Article 1.25 9 Activity Info
Aminocaproic Acid Aminocaproic acid, an antifibrinolytic agent, is a medication used to manage and treat acute bleeding disorders. This activity outlines the indication ... Read the Article 1 5 Activity Info
Aminoglycosides While aminoglycosides are an older class of medication, they continue to be clinically valuable. Aminoglycosides have a broad spectrum of activity cov ... Read the Article 1 8 Activity Info
Ammonia Toxicity Ammonia toxicity occurs when susceptible individuals suffer exposure to external sources of ammonia via ingestion, inhalation, direct contact with ski ... Read the Article 1 4 Activity Info
Anal Fissures An anal fissure is a superficial tear in the skin distal to the dentate line. Anal fissures are common in those with a history of constipation or hard ... Read the Article 1.25 12 Activity Info
Angiodysplasia Angiodysplasia is an abnormal, tortuous, dilated small blood vessel in the mucosal and submucosal layers of the GI tract. It is the most common vascul ... Read the Article 1.25 10 Activity Info
Antacids Antacids are a group of drugs that have been on the market for many years. They were initially first-line defense against peptic ulcer disease; howeve ... Read the Article 1.25 10 Activity Info
Antiemetic Neurokinin-1 Receptor Blockers Neurokinin-1 (NK-1) receptor antagonists are a new class of antiemetic drugs that possess unique anxiolytic, antidepressant, and antiemetic properties ... Read the Article 1 6 Activity Info
Antiemetic Serotonin-5-HT3 Receptor Blockers Selective serotonin receptor (5-HT3) antagonists block serotonin both peripherally, on gastrointestinal (GI) vagal nerve terminals, and centrally in t ... Read the Article 1 5 Activity Info
Aphthous Stomatitis Aphthous stomatitis is a common ailment, idiopathic in nature, with recurrent painful aphthous ulcers (commonly termed “canker sores”) on the non-kera ... Read the Article 1 6 Activity Info
Appendicitis Appendicitis is the inflammation of the vermiform appendix. It typically presents acutely, within 24 hours of onset, but can also present as a more ch ... Read the Article 1.5 19 Activity Info
Ascites Ascites is the pathologic accumulation of fluid within the peritoneal cavity. It is the most common complication of cirrhosis and occurs in about 50% ... Read the Article 1.5 15 Activity Info
Atelectasis The word "atelectasis" is Greek in origin; It is a combination of the Greek words atelez (Ateles) and ektasiz (ektasis) meaning "imperfect" and "expan ... Read the Article 1.25 12 Activity Info
Atrophic Gastritis Gastric atrophy (GA) and intestinal metaplasia of the gastric mucosa (GIM) are collectively known as chronic atrophic gastritis (CAG). These early con ... Read the Article 1.25 6 Activity Info
Azathioprine Azathioprine (AZA) is a medication used in the management and treatment of active rheumatoid arthritis (RA) and the prevention of kidney transplant r ... Read the Article 1 5 Activity Info
Bacterial Diarrhea Diarrhea consists of the passage of watery and loose stools multiple times a day (usually more than 3), though specific definitions may vary when appl ... Read the Article 1.25 9 Activity Info
Bacterial Gastroenteritis Gastroenteritis is a diarrheal disease characterized by an increase in bowel movement frequency with or without fever, vomiting, and abdominal pain. T ... Read the Article 1 3 Activity Info
Barium Swallow The barium swallow study, also known as a barium esophagogram or esophagram, is a contrast-enhanced radiographic study commonly used to assess structu ... Read the Article 1 5 Activity Info
Barrett Esophagus Barrett esophagus (BE) is a pre-malignant condition characterized by conversion of the normal esophageal squamous epithelium into metaplastic columnar ... Read the Article 1.5 14 Activity Info
Barrett Metaplasia Barrett's esophagus is the condition in which a specialized columnar epithelium replaces the normal stratified squamous epithelium of the esophagus. P ... Read the Article 1 5 Activity Info
Benzodiazepine Toxicity Since the 1960s, with the development of chlordiazepoxide and shortly thereafter diazepam, benzodiazepines quickly became popular medications secondar ... Read the Article 1.25 9 Activity Info
Biliary Colic Biliary colic is defined as pain in the abdomen, due to obstruction usually by stones in the cystic duct or common bile duct of the biliary tree. It t ... Read the Article 1 6 Activity Info
Biliary Obstruction Biliary obstruction refers to the impairment of bile flow from the liver to the small intestine due to blockage of the biliary duct system. Bile obstr ... Read the Article 1.25 7 Activity Info
Bilirubinuria Bilirubinuria is the presence of bilirubin in the urine, usually detected while performing a routine urine dipstick test. Its presence is abnormal and ... Read the Article 1 4 Activity Info
Bisacodyl Bisacodyl is a medication used in the management and treatment of chronic or functional constipation. This activity outlines the indications, action, ... Read the Article 1 7 Activity Info
Bismuth Subsalicylate Bismuth subsalicylate is a medication that is used in the management and treatment of gastrointestinal discomfort and traveler's diarrhea. It is in th ... Read the Article 1.25 9 Activity Info
Bisphosphonate Bisphosphonates define a class of drugs that are widely indicated since the 1990s to treat osteoporosis both in men and women. Their effectiveness in ... Read the Article 1.25 12 Activity Info
Boerhaave Syndrome Boerhaave syndrome is also known as spontaneous esophageal rupture or effort rupture of the esophagus. Although vomiting is thought to be the most com ... Read the Article 1.25 10 Activity Info
Bowel Adhesions Bowel adhesions are irregular bands of scar tissue that form between bowel loops, which are normally not bound together. The bands of tissue can devel ... Read the Article 1 4 Activity Info
Bowel Ischemia Bowel ischemia can classify as small intestine ischemia, which is commonly known as mesenteric ischemia and large intestine ischemia, which generally ... Read the Article 1.5 18 Activity Info
Bowel Preparation Clinicians can use a range of methods to prepare the bowel for colonoscopy, the gold standard for imaging the mucosa of the colon to identify concerni ... Read the Article 1 3 Activity Info
Bulimia Nervosa Bulimia nervosa is a disorder that is characterized by binge eating and inappropriate compensatory behavior to control weight with potentially dangero ... Read the Article 1.5 18 Activity Info
Bumetanide Bumetanide is FDA approved for the management of various edematous conditions secondary to cardiac failure, or hepatic or renal disease, including the ... Read the Article 1 6 Activity Info
Cachexia Cachexia is a complicated metabolic syndrome related to underlying illness and characterized by muscle mass loss with or without fat mass loss that is ... Read the Article 1 7 Activity Info
Caffeine Caffeine is a naturally occurring, central nervous system (CNS) stimulant of the methylxanthine class and is the most widely taken psychoactive stimul ... Read the Article 1 6 Activity Info
Calcium Carbonate Calcium carbonate is an inorganic salt primarily used in the management and treatment of low calcium conditions, GERD, CKD, and a variety of other ind ... Read the Article 1 7 Activity Info
Capsule Endoscopy Capsule endoscopy, also known as wireless capsule endoscopy or video capsule endoscopy, is a gastrointestinal study that uses a pill camera to take im ... Read the Article 1 5 Activity Info
Cardiac Cirrhosis Cardiac cirrhosis is a term used to include the spectrum of hepatic disorders that occur secondary to hepatic congestion due to cardiac dysfunction, e ... Read the Article 1 6 Activity Info
Celecoxib The FDA recommends celecoxib and other NSAIDs (non-steroidal anti-inflammatory drugs), along with acetaminophen, as first-line analgesics for patients ... Read the Article 1 6 Activity Info
Celiac Disease Celiac disease, also known as gluten-sensitive enteropathy, is an autoimmune disease of the small intestine. Celiac disease is a condition in which th ... Read the Article 1.5 18 Activity Info
Chest Pain Chest pain is a common complaint and encompasses a broad differential diagnosis that includes several life-threatening causes. A workup must focus on ... Read the Article 1.25 11 Activity Info
Child Intussusception Intussusception is a condition in which part of the intestine folds into the section next to it. Intussusception usually involves the small bowel and ... Read the Article 1.25 12 Activity Info
Chlorpromazine Chlorpromazine is a medication used in the management and treatment of schizophrenia, bipolar disorder, and acute psychosis. It is in the category of ... Read the Article 1.25 8 Activity Info
Cholangitis Acute cholangitis, also known as ascending cholangitis, is a life-threatening condition that is caused by an ascending bacterial infection of the bili ... Read the Article 1.25 9 Activity Info
Cholelithiasis Cholelithiasis or gallstones are hardened deposits of digestive fluid that can form in your gallbladder. The gallbladder is a small organ located just ... Read the Article 1.25 11 Activity Info
Cholera Cholera is an acute secretory diarrheal illness caused by the bacteria Vibrio cholerae. It is estimated to cause upwards of four million cases per yea ... Read the Article 1 7 Activity Info
Chronic Diarrhea Chronic diarrhea is defined as loose/watery stools, which occur three or more times within 24 hours and lasts for 4 or more weeks. This activity outli ... Read the Article 1 5 Activity Info
Chronic Liver Disease Chronic liver disease is a progressive deterioration of liver functions. Liver functions include the production of clotting factors and other proteins ... Read the Article 1.25 7 Activity Info
Chronic Pancreatitis Chronic pancreatitis is a progressive inflammatory disorder that leads to irreversible destruction of exocrine and endocrine pancreatic parenchyma cau ... Read the Article 1.25 13 Activity Info
Cimetidine Cimetidine is a drug with the indication of peptic ulcer disease, gastroesophageal reflux disease, and for dermatological conditions including warts, ... Read the Article 1.25 8 Activity Info
Clear Liquid Diet A clear liquid diet is a specific dietary plan that only includes liquids that are fully transparent at room temperature. Some items that may be allow ... Read the Article 1 4 Activity Info
Clindamycin Clindamycin is a medication used for the treatment of numerous infections, including but not limited to septicemia, intra-abdominal infections, lower ... Read the Article 1 5 Activity Info
Clostridium Difficile Clostridium difficile is a gram-positive bacterium that is the cause most implicated in antibiotic-associated diarrhea. The emergence of a newer hyper ... Read the Article 1.5 16 Activity Info
Colesevelam Colesevelam is an FDA approved antihyperlipidemic drug. When treating hyperlipidemia, colesevelam should be used in conjunction with restriction of ch ... Read the Article 1 5 Activity Info
Colon Cancer Colorectal cancer (CRC) is the third most common diagnosis and second deadliest malignancy for both sexes combined. The incidence of new cases and mor ... Read the Article 1.5 10 Activity Info
Colon Diverticulitis Diverticulitis has increased in incidence over the past few decades and represents a significant healthcare burden in western countries. In the United ... Read the Article 1.5 17 Activity Info
Colon Polyps Colon polyps are protrusions occurring in the colon lumen most commonly sporadic or as part of other syndromes. Polyps are classified as diminutive if ... Read the Article 1 6 Activity Info
Colonoscopy A colonoscopy is a vital tool utilized in modern medicine today. Its versatility and utility make it a vital life-saving procedure, both in the short ... Read the Article 1 5 Activity Info
Colostomy Care Colostomy care, as the name suggests, is an all-encompassing term referring to colostomy management, from its creation to peristomal skin management, ... Read the Article 1.25 7 Activity Info
Colovesicular Fistula The most common cause of colovesicular fistulas is the sequelae of complicated diverticulitis and accounts for over two-thirds of cases. The second mo ... Read the Article 1.25 8 Activity Info
Conjugated Hyperbilirubinemia Conjugated hyperbilirubinemia is usually secondary to hepatocellular disease or cholestasis (intrahepatic and extra-hepatic ). Early workup and diagno ... Read the Article 1.25 7 Activity Info
Constipation Functional constipation is a prevalent condition in childhood, about 29.6% worldwide. In the United States, represents 3% to 5% of pediatric visits an ... Read the Article 1.25 10 Activity Info
COX Inhibitors COX inhibitors are medications used in the management and treatment of chronic pain syndromes. They are in the anti-inflammatory class of drugs. This ... Read the Article 1 3 Activity Info
Crohn Disease Crohn disease (CD) and ulcerative colitis (UC) are two conditions commonly referred to as inflammatory bowel disease (IBD). They are immunologically m ... Read the Article 2 29 Activity Info
Cryptogenic Cirrhosis Cryptogenic cirrhosis is cirrhosis of uncertain etiology that lacks definitive clinical and histological criteria for a specific disease. Although the ... Read the Article 1 5 Activity Info
Curling Ulcer Stress ulcers is a well-known clinical entity described as stress-induced gastritis or gastropathy where the gastric and sometimes esophageal or duode ... Read the Article 1 6 Activity Info
Cyclic Vomiting Syndrome Cyclic vomiting syndrome is characterized by recurrent episodes of nausea and vomiting lasting from hours to days in the absence of identifiable patho ... Read the Article 1 5 Activity Info
Cystic Fibrosis Until relatively modern times, cystic fibrosis was poorly understood. In 1949, Lowe et al. postulated that cystic fibrosis must be caused by a geneti ... Read the Article 2.25 32 Activity Info
Deep Venous Thrombosis Prophylaxis Deep vein thrombosis (DVT) is the formation or presence of a thrombus in the deep veins. DVT occurs mostly in the lower extremities and to a lesser ex ... Read the Article 1 7 Activity Info
Dermatitis Herpetiformis Dermatitis herpetiformis is a chronic, autoimmune, blistering disease that causes an extremely pruritic rash that predominantly affects the extensor s ... Read the Article 1.25 11 Activity Info
Diabetic Gastroparesis Gastroparesis is defined by objective delaying of gastric emptying without any evidence of mechanical obstruction. Diabetic gastroparesis is a potenti ... Read the Article 1 7 Activity Info
Diarrhea Diarrhea is a common condition that varies in severity and etiology. The evaluation of diarrhea varies depending on duration, severity, and presence o ... Read the Article 1 3 Activity Info
Dietary Calcium Adequate calcium intake, from either direct food sources or calcium supplements, is essential for nutrition in patients of all ages. This article will ... Read the Article 1.25 9 Activity Info
Diffuse Esophageal Spasm Diffuse esophageal spasm is an esophageal motility disorder that often manifests as dysphagia. If the diagnosis is delayed, diffuse esophageal spasm i ... Read the Article 1.25 11 Activity Info
Diphenoxylate and Atropine Diphenoxylate/atropine combination is a medication used in the management and treatment of diarrhea. It is in the antimotility class of drugs. This ac ... Read the Article 1.25 11 Activity Info
Diphyllobothrium Latum Diphyllobothriasis is a zoonotic infection that suffers from a lack of awareness in the medical field but has seen a recent resurgence in cases global ... Read the Article 1 6 Activity Info
Diverticulosis Diverticulosis is a clinical condition in which multiple sac-like protrusions (diverticula) develop along the gastrointestinal tract. Though diverticu ... Read the Article 1 5 Activity Info
Docusate Docusate is a medication used in the management and treatment of constipation. It is in the stool softener class of drugs. This activity reviews the i ... Read the Article 1.25 12 Activity Info
Dronabinol Dronabinol is synthetic tetrahydrocannabinol ('THC'), which obtained FDA approval in 1985 for the treatment of HIV/AIDs-induced anorexia and chemother ... Read the Article 1.25 8 Activity Info
Drug Induced Esophagitis Drugs can be damaging to the esophageal wall by having a direct toxic effect on the esophageal mucosa. They may produce a caustic effect by creating a ... Read the Article 1 5 Activity Info
Dumping Syndrome Dumping syndrome can occur after a variety of gastric procedures and occurs due to the rapid movement of hyperosmolar chyme from the stomach into the ... Read the Article 1 4 Activity Info
Duodenal Biopsy A duodenal biopsy is performed during endoscopy in either a directed or random manner. The biopsy results further characterize visualized areas on en ... Read the Article 1 6 Activity Info
Duodenal Perforation Duodenal perforations can either be free or contained. Free perforation arises when bowel contents leak freely into the abdominal cavity and causing d ... Read the Article 1.5 14 Activity Info
Duodenal Ulcer Duodenal ulcers occur when there is a disruption to the surface of the mucosa of the duodenum. These ulcers are part of peptic ulcer disease, which in ... Read the Article 1.25 13 Activity Info
Dysphagia Dysphagia is defined as objective impairment or difficulty in swallowing, resulting in an abnormal delay in the transit of a liquid or solid bolus. Th ... Read the Article 1.25 12 Activity Info
Encopresis Encopresis or fecal incontinence is defined as the involuntary passing of stool into inappropriate places such as the underwear in children older than ... Read the Article 1 4 Activity Info
End of Life Care Unlike other conditions and life experiences, which only affect a certain percentage of the world’s population, the end-of-life is a stage in the proc ... Read the Article 2.5 36 Activity Info
Endoscopic Retrograde Cholangiopancreatography Endoscopic retrograde cholangiopancreatography (ERCP) is a combined endoscopic and fluoroscopic procedure in which an endoscope is advanced into the s ... Read the Article 1 7 Activity Info
Erythromycin Erythromycin has traditionally; it has been used for various respiratory infections (i.e., community-acquired pneumonia, Legionnaires disease), prophy ... Read the Article 1 8 Activity Info
Esophageal Candidiasis The most prevalent cause of infectious esophagitis is esophageal candidiasis. Of patients that have infectious esophagitis, 88% are from Candida albic ... Read the Article 1 6 Activity Info
Esophageal Diverticula An esophageal diverticulum is a relatively rare disease in which there is an outpouching of the esophageal mucosa. Patients typically present if they ... Read the Article 1 5 Activity Info
Esophageal Intramural Pseudodiverticulosis Dysphagia is a common symptom with multiple possible etiological factors, one of which is diffuse intramural esophageal diverticulosis. This activity ... Read the Article 1 5 Activity Info
Esophageal Leiomyoma Esophageal leiomyomas are the most common benign tumors of the esophagus. This activity explains how to properly evaluate for esophageal leiomyoma, a ... Read the Article 1 6 Activity Info
Esophageal Motility Disorders Major disorders of motility are usually universally symptomatic and have a deleterious impact on the patient's quality of life. Prompt action is neede ... Read the Article 1.25 10 Activity Info
Esophageal Perforation And Tears Esophageal perforation poses a significant interprofessional challenge to the entire therapeutic team. It can occur in three different anatomical comp ... Read the Article 1.25 13 Activity Info
Esophageal Stricture An esophageal stricture is an abnormal narrowing of the esophageal lumen. It often presents with difficulty swallowing and has many potential etiologi ... Read the Article 1.5 13 Activity Info
Esophageal Varices Esophageal varices are dilated submucosal distal esophageal veins connecting the portal and systemic circulations. They form due to portal hypertensio ... Read the Article 1.5 18 Activity Info
Esophageal Webs And Rings Esophageal webs and rings are usually asymptomatic but can occasionally present with intermittent dysphagia to solids. Some patients may develop food ... Read the Article 1 5 Activity Info
Esophagial Foreign Body Most patients who present for evaluation of a foreign body in the esophagus do so after accidental ingestion of a known object, and the patient has mi ... Read the Article 1.25 13 Activity Info
Esophagitis Esophagitis refers to inflammation or injury to the esophageal mucosa. One of the most common causes is gastroesophageal reflux, which can lead to ero ... Read the Article 1 5 Activity Info
Esophagogastroduodenoscopy Esophagogastroduodenoscopy (EGD) is a diagnostic endoscopic procedure used to visualize the oropharynx, esophagus, stomach, and proximal duodenum. It ... Read the Article 1 5 Activity Info
Evaluation And Management of Perioperative Hypertension This activity reviews the role of the interprofessional team involved in the perioperative care of patients with hypertension (HTN). These providers i ... Read the Article 1.25 9 Activity Info
External Hemorrhoid Hemorrhoid disease is a common pathology that can yield symptoms ranging from minimal discomfort or inconvenience to excruciating pain and significant ... Read the Article 1 7 Activity Info
Familial Adenomatous Polyposis Familial adenomatous polyposis (FAP) or familial polyposis coli (FPC) is an autosomal dominant polyposis syndrome with varying degrees of penetrance. ... Read the Article 1.25 13 Activity Info
Fecal Impaction Fecal impaction occurs because of hardened fecal matter retained in the large bowel which cannot be evacuated by regular peristaltic activity. If this ... Read the Article 1 5 Activity Info
Fecal Incontinence Fecal incontinence is a highly prevalent problem resulting in an inability to control the discharge of bowel contents. Its severity can range from the ... Read the Article 1 5 Activity Info
Feeding Tube Feeding tubes are tubes inserted into the gastrointestinal tract to provide a patient with enteral nutrition or for decompression. Tubes come in a var ... Read the Article 1 4 Activity Info
Fibrinogen Fibrinogen is a 340kDa hexameric plasma glycoprotein synthesized by the liver and is the major structural component of a clot. The type of fibrinogen ... Read the Article 1 5 Activity Info
Flumazenil Flumazenil is a benzodiazepine antagonist. The primary FDA-approved clinical uses for flumazenil include reversal agent for benzodiazepine overdose an ... Read the Article 1 6 Activity Info
Functional Abdominal Pain In Children Functional abdominal pain is a common disorder in children. The diagnostic Rome IV criteria for functional abdominal pain must be fulfilled for at lea ... Read the Article 1 5 Activity Info
Functional Dyspepsia Functional dyspepsia is a common gastrointestinal disorder that is benign. It is difficult to diagnose because the presentation is similar to other c ... Read the Article 1 5 Activity Info
Gadolinium Magnetic Resonance Imaging Contrast agents are pharmaceuticals that increase the information content of diagnostic images. They serve to improve the sensitivity and specificity ... Read the Article 1.25 6 Activity Info
Gallbladder Empyema Empyema of the gallbladder is the most severe complications of acute cholecystitis. It is usually the result of the progression of acute cholecystitis ... Read the Article 1 4 Activity Info
Gallstones (Cholelithiasis) Gallstones or cholelithiasis are stones that form in the gallbladder composed of cholesterol, bilirubin, and bile. These stones are asymptomatic in mo ... Read the Article 1.25 10 Activity Info
Gastric Cancer Gastric cancer is the fifth most frequently diagnosed cancer and the third leading cause of cancer deaths worldwide. The only potentially curative tre ... Read the Article 1.5 13 Activity Info
Gastric Perforation Perforation of the stomach is a full-thickness injury of the wall of the organ. Since peritoneum completely covers the stomach, perforation of the wal ... Read the Article 1 7 Activity Info
Gastric Stasis Gastroparesis (gastric stasis) is derived from Greek words gastro/gaster or stomach, and paresis or partial paralysis. It is a clinical condition resu ... Read the Article 1 5 Activity Info
Gastric Ulcer Gastric ulcers are a break in the mucosa of the stomach lining that penetrates through the muscularis mucosa and extends more than 5 mm in diameter. W ... Read the Article 1.25 13 Activity Info
Gastrinoma Gastrinomas are neuroendocrine tumors characterized by the secretion of gastrin with resultant excessive gastric acid production causing severe peptic ... Read the Article 1 4 Activity Info
Gastritis The current classification of gastritis is based on time course (acute versus chronic), histological features, anatomic distribution, and underlying p ... Read the Article 1.25 12 Activity Info
Gastroesophageal Reflux Disease Gastroesophageal reflux disease (GERD) is a condition that develops when there is a retrograde flow of stomach contents back into the esophagus. It ca ... Read the Article 2 29 Activity Info
Gastrointestinal Bleeding Gastrointestinal bleeding can fall into two broad categories: upper and lower sources of bleeding. The anatomic landmark that separates upper and low ... Read the Article 1 5 Activity Info
Gastroparesis Gastroparesis is an uncommon condition in the community that can be associated with significant morbidity, healthcare burden and could have poor outco ... Read the Article 1 6 Activity Info
Gastrostomy Tube Replacement A gastrostomy tube (G-tube) is indicated in patients that need long-term pre-pyloric feeding. Endoscopic gastrostomy tube placement is now the preferr ... Read the Article 1 4 Activity Info
Giardia Lamblia Enteritis Giardia lamblia enteritis is small-intestine gastroenteritis caused by the pathogenic protozoan Giardia lamblia, (Giardia duodenalis or Giardia intest ... Read the Article 1 7 Activity Info
Gram Positive Bacteria Gram-positive organisms have highly variable growth and resistance patterns. The SCOPE project (Surveillance and Control of Pathogens of Epidemiologic ... Read the Article 1 3 Activity Info
H2 Blockers H2 receptor blockers, or H2 receptor antagonists (H2RAs), are a class of gastric acid-suppressing agents frequently used in various gastric conditions ... Read the Article 1 6 Activity Info
Halothane Toxicity Halothane is a medication previously used for induction and maintenance of general anesthesia. After its large impact on medicine and anesthesia speci ... Read the Article 1 6 Activity Info
Hand Hygiene Handwashing practices in the patient care setting began in the early 19th century. The practice evolved over the years with evidential proof of its va ... Read the Article 1 4 Activity Info
Helicobacter Pylori H. pylori is a gram-negative, microaerophilic bacterium that can infect humans. It is often found in the stomach of affected individuals and causes in ... Read the Article 1 7 Activity Info
Hemorrhagic Shock Shock refers to the inadequate perfusion of tissues due to the imbalance between oxygen demand of tissues and the body’s ability to supply it. Classic ... Read the Article 1.5 15 Activity Info
Hepatic Cirrhosis Cirrhosis is characterized by fibrosis and nodule formation of the liver secondary to chronic injury, leading to alteration of the normal lobular orga ... Read the Article 1.5 18 Activity Info
Hepatic Encephalopathy Hepatic encephalopathy (HE) is a reversible syndrome observed in patients with advanced liver dysfunction. This syndrome is characterized by a wide sp ... Read the Article 1.5 16 Activity Info
Hepatic Failure Acute liver failure (ALF) is a complex clinical syndrome characterized by coagulopathy, elevated liver biochemistry, and hepatic encephalopathy withou ... Read the Article 1 4 Activity Info
Hepatitis The term hepatitis means inflammation of the liver — hepatitis most commonly results from viruses. But drugs, alcohol, toxins, and certain diseases, i ... Read the Article 1.75 17 Activity Info
Hepatitis A The hepatitis A virus (HAV) is a positive-sense, single-stranded RNA virus that belongs to the family Picornaviridae. It replicates primarily within h ... Read the Article 1.5 18 Activity Info
Hepatitis A Vaccine Hepatitis A infection is a significant cause of morbidity and mortality worldwide. This activity will describe how to prevent this infection through t ... Read the Article 1 5 Activity Info
Hepatitis B Hepatitis B infection is a serious global healthcare problem. Often transmitted via body fluids like blood, semen, and vaginal secretions, the hepatit ... Read the Article 1.75 24 Activity Info
Hepatitis C Hepatitis C virus (HCV) is a major public health problem affecting 185 million people worldwide. The percentage of people who are seropositive for ant ... Read the Article 1.75 24 Activity Info
Hepatocellular Carcinoma Hepatocellular carcinoma (HCC) is a primary tumor of the liver. Hepatocellular carcinoma constitutes more than 90% of the primary tumor of the liver. ... Read the Article 1.25 8 Activity Info
Hirschsprung Disease Hirschsprung disease (HD) is a congenital disorder characterized by the absence of ganglion cells (GC) at the Meissner's plexus (submucosa) and Auerba ... Read the Article 1.25 9 Activity Info
Hookworm Hookworm infection is one of the common parasitic infestations in developing countries. They are mainly causing iron deficiency anemia in exposed pati ... Read the Article 1 5 Activity Info
Hospital Acquired Infections Hospital-acquired infections (healthcare-associated infections) are nosocomially acquired infections that are not present or incubating at the time of ... Read the Article 1 5 Activity Info
Hypoalbuminemia Hypoalbuminaemia is one of the most prevalent disorders in hospitalized and critically ill patients. Hypoalbuminaemia may be a result of decreased pro ... Read the Article 1 5 Activity Info
Hypocalcemia Disorders of calcium metabolism are frequently encountered. Though hypocalcemia is encountered as frequently as hypercalcemia, it can be potentially l ... Read the Article 1.25 9 Activity Info
Hyponatremia Hyponatremia is defined as a serum sodium concentration of less than 135 mEq/L but can vary to a small extent in different laboratories. Hyponatremia ... Read the Article 1.25 11 Activity Info
Hypophosphatemia Given its widespread role in nearly every molecular, cellular function, aberrations in serum phosphate levels can be highly impactful. Hypophosphatemi ... Read the Article 1 5 Activity Info
Hypothyroidism Hypothyroidism results from low levels of thyroid hormone with varied etiology and manifestations. The drug of choice for the treatment of hypothyroid ... Read the Article 1.75 20 Activity Info
Hypovolemia Hypovolemia refers to a state of low extracellular fluid volume, generally secondary to combined sodium and water loss. All living organisms must main ... Read the Article 1 4 Activity Info
Ileal Conduit Urinary diversion involves the re-routing of urinary drainage to the outside of the body - either as a temporary or permanent solution. This activity ... Read the Article 1 6 Activity Info
Illness Anxiety Disorder Illness anxiety disorder (previously called hypochondriasis) is a psychiatric disorder defined by excessive worry about having or developing a serious ... Read the Article 1.25 8 Activity Info
Immunization Immunization has become a vital part of public health and disease prevention, yet remain a controversial topic. Diseases which were once responsible f ... Read the Article 1 5 Activity Info
Indomethacin Indomethacin is a non-steroidal anti-inflammatory (NSAID) drug with broad applications. This activity reviews the indications, action, and contraindic ... Read the Article 1 5 Activity Info
Inflammatory Bowel Disease Inflammatory bowel disease (IBD) is a chronic inflammatory disease of the gastrointestinal tract and is divided into Crohn disease and ulcerative coli ... Read the Article 1.25 12 Activity Info
Infliximab Infliximab is a biologic, monoclonal-antibody drug. The United States Food and Drug Administration (FDA) has approved Infliximab for moderate to sever ... Read the Article 1 8 Activity Info
Internal Hemorrhoid Hemorrhoids are naturally occurring vascular tissues within the submucosa in the anal canal and comprise loose connective tissue, smooth muscle, and b ... Read the Article 1.25 13 Activity Info
Intestinal Perforation Intestinal perforation, defined as a loss of continuity of the bowel wall, is a potentially devastating complication that may result from a variety of ... Read the Article 1 4 Activity Info
Intussusception In Adults The diagnosis of intussusception in adults is rare and challenging. The management, on the other hand, is rather straight forward. To achieve good ... Read the Article 1 5 Activity Info
Iron Iron is a mineral essential to the human body. It is administered for the treatment of iron deficiency. It is available in many formulations that belo ... Read the Article 1 5 Activity Info
Iron Overload Iron overload occurs when there are excess stores of iron in the body. Primary iron overload is often inherited. Secondary iron overload usually arise ... Read the Article 1 3 Activity Info
Iron Supplementation Iron is a medication used in the management and treatment of iron deficiency anemia. This activity illustrates the indications, action, and contraind ... Read the Article 1.25 8 Activity Info
Irritable Bowel Syndrome Irritable bowel syndrome (IBS) is one of the most commonly diagnosed gastrointestinal diseases. IBS, in the absence of any other causative disease, is ... Read the Article 1 6 Activity Info
Jaundice Jaundice, also known as hyperbilirubinemia, is defined as a yellow discoloration of the body tissue resulting from the accumulation of excess bilirubi ... Read the Article 1.25 10 Activity Info
Kayser-Fleischer Ring Kayser–Fleischer (KF) rings are a common ophthalmologic finding in patients with Wilson disease. Initially thought to be due to the accumulation of si ... Read the Article 1 5 Activity Info
Lactose Intolerance Lactose intolerance is a clinical syndrome that manifests with characteristic signs and symptoms upon the consumption of food substances containing la ... Read the Article 1 7 Activity Info
Lactulose Lactulose is used in preventing and treating clinical portal-systemic encephalopathy. Its chief mechanism of action is by decreasing the intestinal pr ... Read the Article 1 5 Activity Info
Laparoscopic Cholecystectomy Laparoscopic cholecystectomy is a minimally invasive surgical procedure used for the removal of a diseased gallbladder. Since the early 1990s, this te ... Read the Article 1.25 8 Activity Info
Laxatives Constipation is a common diagnosis that requires proper evaluation and appropriate treatment. The approach to a patient with chronic constipation incl ... Read the Article 1 5 Activity Info
Liver Abscess A liver abscess is defined as a pus-filled mass in the liver that can develop from injury to the liver or from an intra-abdominal infection disseminat ... Read the Article 1.5 15 Activity Info
Liver Biopsy Liver biopsy remains the gold standard in the diagnosis of several liver disorders. With refinement in techniques, it has emerged as a safe, useful to ... Read the Article 1 5 Activity Info
Liver Imaging Liver lesions have a broad spectrum of pathologies ranging from benign liver lesions such as hemangiomas to malignant lesions such as primary hepatoce ... Read the Article 1 5 Activity Info
Loperamide Loperamide is a medication used in the treatment of diarrhea. It classifies as an anti-diarrheal agent. The use of loperamide in high doses has been a ... Read the Article 1 6 Activity Info
Lower Gastrointestinal Bleeding Gastrointestinal (GI) bleeding is a term used to describe any bleeding that occurs within the gastrointestinal tract from mouth to the anus. Any bleed ... Read the Article 1 4 Activity Info
Lymphadenopathy Lymphadenopathy refers to the swelling of lymph nodes which can be secondary to bacterial, viral, or fungal infections, autoimmune disease, and malign ... Read the Article 1 5 Activity Info
Malabsorption Syndromes This activity is a brief overview of malabsorption symptoms as they pertain to fat, carbohydrate, protein, vitamin, mineral, and trace elements digest ... Read the Article 1.25 10 Activity Info
Management of Antithrombotics Around Gastrointestinal Procedures Antiplatelets and anticoagulants are used to reduce the risk of venous thromboembolism in patients at high risk. However, when these patients need ga ... Read the Article 1 5 Activity Info
Marijuana Cannabis, also known as marijuana, is commonly sought out by patients for various conditions. Conversely, many providers are uncomfortable prescribing ... Read the Article 1.25 9 Activity Info
Meckel Diverticulum Meckel diverticulum is a common congenital abnormality of the small intestine that is caused by incomplete obliteration of the vitelline (omphalomesen ... Read the Article 1.25 10 Activity Info
Medication Routes of Administration A medication administration route is often classified by the location at which the drug is applied, such as oral or intravenous. The choice of routes ... Read the Article 1 5 Activity Info
Melanosis Coli First described by Andral and Cruveilhier in 1830, Melanosis coli is a condition associated with the deposition of lipofuscin (not melanin as the name ... Read the Article 1 5 Activity Info
Mesalamine (USAN) Mesalamine, is also known as 5-aminosalicylic acid (5-ASA), is a medication used in the treatment of ulcerative colitis. It is under the drug classif ... Read the Article 1 5 Activity Info
Mesenteric Vasculitis Mesenteric vasculitis can present in a variety of vasculitic disorders and some systemic, systemic diseases. The diagnosis of this condition can be ve ... Read the Article 1 6 Activity Info
Meteorism Meteorism, also known as tympanites, is characterized by the accumulation of gas in the gastrointestinal (GI) tract. Gas may cause the sensation of bl ... Read the Article 1 5 Activity Info
Microcytic Hypochromic Anemia Microcytic, hypochromic anemia, as the name suggests, is the type of anemia in which the circulating RBCs are smaller than the usual size of RBCs (mic ... Read the Article 1 6 Activity Info
Misoprostol Misoprostol has four primary effects: cytoprotection of the gastrointestinal mucosa, uterotonic, diarrhea, and abdominal pain (diarrhea and abdominal ... Read the Article 1.25 8 Activity Info
Morphine FDA-approved usage of morphine sulfate includes moderate to severe pain that may be acute or chronic. Most commonly used in pain management, morphine ... Read the Article 1.25 13 Activity Info
Naloxone Over the past two decades, the rate of overdose from opiates has increased significantly. Opiate misuse is associated with enormous morbidity and mort ... Read the Article 1.25 7 Activity Info
Naproxen Naproxen is FDA-approved for the treatment of acute gout, ankylosing spondylitis, bursitis, polyarticular juvenile idiopathic arthritis, osteoarthriti ... Read the Article 1 5 Activity Info
Nasogastric Tube Nasogastric tubes are part of the standard of care in treating intestinal obstruction and can also be used to provide nutritional support. They are mo ... Read the Article 1.25 11 Activity Info
Neurolytic Blocks A neurolytic block is the targeted destruction of a nerve or nerve plexus. Frequently, the term neuroablation is used to also describe the physical in ... Read the Article 1 6 Activity Info
Nicotinic Acid Deficiency Dietary deficiency of niacin results in pellagra. It is characterized by dermatitis, diarrhea, dementia, and eventually death if not treated by giving ... Read the Article 1.25 8 Activity Info
Nocturnal Cough A cough is an essential protective and defensive reflex that the body uses to remove mucus, noxious substances, and irritants from the larynx, trachea ... Read the Article 1 5 Activity Info
Nonalcoholic Fatty Liver Non-alcoholic fatty liver disease (NAFLD) is a broad term used to cover a spectrum of conditions which are characterized by evidence of hepatic steato ... Read the Article 1 7 Activity Info
Nonalcoholic Steatohepatitis Nonalcoholic, fatty liver disease (NAFLD) is defined as the ectopic accumulation of fat in the liver (hepatic steatosis) when no other causes of secon ... Read the Article 1.25 7 Activity Info
Obesity Obesity is the excessive or abnormal accumulation of fat or adipose tissue in the body that may impair health. Obesity has become an epidemic which ha ... Read the Article 1.5 18 Activity Info
Omeprazole Omeprazole is a proton-pump inhibitor used in the management and treatment of several conditions, including peptic ulcer disease, gastrointestinal ref ... Read the Article 1 7 Activity Info
Opioid Analgesics Opioids are a class of medication used in the management and treatment of pain. This activity outlines the indications, action, and contraindications ... Read the Article 1.25 13 Activity Info
Opioid Induced Constipation Opioid-induced constipation (OIC) accounts for between 40 and sixty percent of patients without cancer receiving opioids. Laxatives must be started at ... Read the Article 1.25 8 Activity Info
Orlistat Orlistat is a medication used in the management of obesity. This activity reviews the indications, action, and contraindications for orlistat as a val ... Read the Article 1 6 Activity Info
Oxycodone Oxycodone is a potent opioid which can be useful when used judiciously for pain. However, it can cause physical dependence and addiction. The immediat ... Read the Article 1 6 Activity Info
Pancreatic Cysts Pancreatic cysts are often detected in patients undergoing imaging with either computed tomography (CT) or magnetic resonance imaging (MRI) for unrela ... Read the Article 1 6 Activity Info
Pancreatic Insufficiency The pancreas has an essential role in the digestion, absorption, and metabolism of carbohydrates, fats, and proteins. Damage to the cells producing pa ... Read the Article 1 6 Activity Info
Pancreatic Pseudocyst A pancreatic pseudocyst is an encapsulated collection of homogenous fluid with little or no necrotic tissue located near the pancreas. It often presen ... Read the Article 1.25 9 Activity Info
Pancreatitis Acute pancreatitis is an acute response to injury of the pancreas. Chronic pancreatitis can result in permanent damage to the structure and endocrine ... Read the Article 1.25 13 Activity Info
Pancrelipase Pancrelipase refers to a class of medications designed to treat malabsorption and abdominal pain secondary to exocrine pancreatic insufficiency. These ... Read the Article 1 4 Activity Info
Pancrelipase Therapy Pancrelipase, which is a combination of lipase, protease, and amylase, has been shown to benefit patients with exocrine pancreatic insufficiency. The ... Read the Article 1 7 Activity Info
Pantoprazole Pantoprazole is a proton-pump inhibitor (PPI) widely used in hospitals and outpatient settings. Pantoprazole has approval from the Food and Drug Admin ... Read the Article 1 8 Activity Info
Paracentesis Paracentesis is a procedure performed to obtain a small sample of or drain ascitic fluid for both diagnostic or therapeutic purposes. This activity de ... Read the Article 1 3 Activity Info
Pediatric Gastroenteritis Gastroenteritis in the pediatric population is a very common condition that accounts for around 10 percent of pediatric deaths and is the second cause ... Read the Article 1 2 Activity Info
Peptic Ulcer Disease Peptic ulcer disease is characterized by discontinuation in the inner lining of the gastrointestinal (GI) tract because of gastric acid secretion or p ... Read the Article 1.5 14 Activity Info
Percutaneous Cholangiography Patients presenting with obstructive biliary pathology can be challenging to evaluate with noninvasive imaging. Percutaneous cholangiography, in conju ... Read the Article 1 5 Activity Info
Percutaneous Endoscopic Gastrostomy Tube Parenteral and enteral feedings are considered in patients with insufficient oral intake or contraindications to anything by mouth. Nutritional suppor ... Read the Article 1 5 Activity Info
Percutaneous Liver Biopsy Percutaneous liver biopsy is a procedure in which a needle is introduced through the skin and, eventually liver tissue to obtain a specimen to help ai ... Read the Article 1 5 Activity Info
Pericholangitis The diagnostic criteria for small-duct primary sclerosing cholangitis (SDPSC) included biochemical features of chronic cholestasis with unknown etiolo ... Read the Article 1 5 Activity Info
Peripheral Line Placement Peripheral intravenous (IV) lines, catheters or cannulas are indwelling single-lumen plastic conduits that allow fluids, medications and other therapi ... Read the Article 1 3 Activity Info
Perirectal Abscess The anorectal abscess can vary on the spectrum of complexity based on the location and involvement of surrounding tissue. A thorough knowledge of the ... Read the Article 1.25 8 Activity Info
Peritoneovenous Shunt Peritoneovenous shunt placement is performed as a long- term treatment for chronic refractory ascites. The shunt used most commonly is the Denver shun ... Read the Article 1 5 Activity Info
Pernicious Anemia Pernicious anemia (PA) is megaloblastic anemia resulting from a deficiency of cobalamin (vitamin B12), which in turn is caused by a lack of intrinsic ... Read the Article 1.75 20 Activity Info
Peutz-Jeghers Syndrome Peutz-Jeghers syndrome (PJS) is a hereditary syndrome characterized by gastrointestinal (GI) polyposis, mucocutaneous pigmented macules, and predispos ... Read the Article 1 7 Activity Info
Phytonadione (Vitamin K1) Phytonadione (vitamin K1) is a medication used in the treatment and management of vitamin k deficiency, which is a significant risk factor for intracr ... Read the Article 1 5 Activity Info
Polyethylene Glycol Polyethylene glycol is a medication that is used in the management and treatment of constipation. It is in the laxative class of drugs. This activity ... Read the Article 1.25 8 Activity Info
Porcelain Gallbladder Porcelain gallbladder refers to the condition in which the inner gallbladder wall is encrusted with calcium. The wall becomes brittle, hard, and often ... Read the Article 1.25 12 Activity Info
Portal Vein Obstruction Portal vein obstruction most commonly results from thrombosis or, to a lesser extent, from malignancy. It also occurs as a complication of several met ... Read the Article 1 4 Activity Info
Prednisone Prednisone is a synthetic, anti-inflammatory glucocorticoid that derives from cortisone. It is biologically inert and converted to prednisolone in the ... Read the Article 1 7 Activity Info
Primary Biliary Cholangitis Primary biliary cholangitis (PBC), formerly termed primary biliary cirrhosis, is an autoimmune disorder that leads to the gradual destruction of intra ... Read the Article 1.25 11 Activity Info
Procedural Sedation Procedural sedation permits the safe performance of procedures that a patient cannot tolerate in the fully conscious state. Through this activity, th ... Read the Article 1 5 Activity Info
Promethazine Promethazine is a medication used in the management and treatment of allergic conditions, nausea and vomiting, motion sickness, and sedation. It also ... Read the Article 1 8 Activity Info
Proton Pump Inhibitors (PPI) Proton pump inhibitors represent a class of medications used to treat a wide variety of pathologies related to the stomach's acid production. This act ... Read the Article 1 7 Activity Info
Pseudoappendicitis Pseudoappendicitis can describe any condition mimicking appendicitis, a disease which classically presents with acute right lower quadrant abdominal p ... Read the Article 1 5 Activity Info
Pseudomembranous Colitis Pseudomembranous colitis, a severe inflammation of the inner lining of the large intestine, manifests as an antibiotic-associated colonic inflammatory ... Read the Article 1.25 13 Activity Info
Pyloric Stenosis Pyloric stenosis, also known as infantile hypertrophic pyloric stenosis (IHPS), is an uncommon condition in infants characterized by abnormal thickeni ... Read the Article 1.25 9 Activity Info
Radiation Enteritis Radiation enteritis is damage to small and/or large intestine secondary to radiation. Different terms like radiation colitis, radiation enteropathy, r ... Read the Article 1 4 Activity Info
Rectal Bleeding Rectal bleeding, or hematochezia, is a frequently encountered problem in the outpatient setting. It can herald a pathology in the proximal lower gastr ... Read the Article 1 6 Activity Info
Rectal Cancer Colon and rectal cancers together are the third most commonly diagnosed cancer in the United States and the second deadliest. Rectal cancer has distin ... Read the Article 1.25 5 Activity Info
Rectal Exam The rectal exam is an oft-overlooked part of the physical exam. For those practitioners who understand how to interpret it, a lot of information can i ... Read the Article 1.25 9 Activity Info
Refeeding Syndrome Increased nutrition following a prolonged period of starvation can result in refeeding syndrome. Refeeding syndrome commonly occurs in populations at ... Read the Article 1 5 Activity Info
Reflux Esophagitis Esophageal reflux is considered the most common disease encountered by the gastroenterologists, and it contributes to a large proportion of cases trea ... Read the Article 1.25 10 Activity Info
Rotavirus Rotavirus is the leading cause of acute gastroenteritis in the world. Studies estimate that approximately 200,000 people die annually from infection. ... Read the Article 1 5 Activity Info
Salicylic Acid (Aspirin) Salicylates have been available since the early 1900s. This activity outlines the indications, mechanism of action, methods of administration, importa ... Read the Article 1.5 18 Activity Info
Schatzki Ring A schatzki ring is a circular membrane of mucosa and submucosa that forms at the squamocolumnar junction of the distal esophagus. Schatzki rings appea ... Read the Article 1 5 Activity Info
Sengstaken-Blakemore Tube In 1950 Robert W. Sengstaken and Arthur H. Blakemore recognized that the introduction of blood banks and the ability to provide patients with large qu ... Read the Article 1 4 Activity Info
Septic Peritonitis Sepsis secondary to peritonitis can have life-threatening ramifications. The abdominal compartment can become a large nidus for pathogens resistant to ... Read the Article 1 6 Activity Info
Shigella Shigellosis is a form of bacterial diarrhea caused by the Shigella species. It is common in developing countries and is transmitted via the ingestion ... Read the Article 1 6 Activity Info
Simethicone Simethicone is a medication used in the management and treatment of flatulence. This activity describes the indications, mechanism of action, and cont ... Read the Article 1 6 Activity Info
Small Bowel Cancer Small Bowel Cancer encompasses a series of malignant lesions that may be identified throughout the small intestine (SI). The small bowel lies between ... Read the Article 1 5 Activity Info
Small Bowel Obstruction Small bowel obstruction is a common surgical emergency due to mechanical blockage of the bowel. Though it can be caused by many pathologic processes, ... Read the Article 1.25 9 Activity Info
Small Intestinal Bacterial Overgrowth In contrast to the large intestine, the concentration of the bacteria in the small intestine rarely exceeds 1000 organisms/mL. Gastric acid secretion ... Read the Article 1 6 Activity Info
Spider Angioma Spider angioma, also known as spider naevus or spider telangiectasia, is a vascular lesion characterized by anomalous dilatation of end vasculature fo ... Read the Article 1 4 Activity Info
Spontaneous Bacterial Peritonitis Spontaneous bacterial peritonitis (SBP) is an acute infection of the abnormal accumulation of fluid in the abdomen (ascites), without an identifiable ... Read the Article 1 6 Activity Info
Strongyloidiasis Strongyloidiasis is a disease caused by the intestinal worms Strongyloides stercoralis or Strongyloides fuelleborni. The more common of the two, Sterc ... Read the Article 1 7 Activity Info
Sucralfate Sucralfate is a medication used to treat duodenal ulcers, epithelial wounds, chemotherapy-induced mucositis, radiation proctitis, ulcers in Behcet dis ... Read the Article 1 6 Activity Info
Swallowing Study The videofluoroscopic swallow study is an important initial diagnostic study for dysphagia as it helps to see the relative structural motion of the up ... Read the Article 1 4 Activity Info
T Tube A T-tube is a T-shaped tube placed in the common bile duct following procedures involving the duct, such as after choledochotomy. T-tubes can also be ... Read the Article 1 5 Activity Info
Toxic Megacolon Toxic megacolon is a rare, but potentially deadly complication of colonic inflammation. It is defined as a nonobstructive dilation of the colon, which ... Read the Article 1.25 11 Activity Info
Transfusion Reactions Transfusion reactions are adverse events associated with the transfusion of whole blood or one of its components. They range in severity from minor to ... Read the Article 1.5 15 Activity Info
Transjugular Intrahepatic Portosystemic Shunt Transjugular intrahepatic portosystemic shunt (TIPS) is a well-established percutaneous modality for decreasing portal hypertension. The major clinica ... Read the Article 1 6 Activity Info
Travelers Diarrhea Traveler's diarrhea is a common ailment in individuals traveling to resource-limited destinations overseas. It is estimated to affect nearly 40 to 60 ... Read the Article 1.25 8 Activity Info
Typhoid Fever Typhoid fever is an enteric fever characterized by systemic illness along with abdominal pain and fever in a “step-ladder” pattern. The organism respo ... Read the Article 1.25 8 Activity Info
Ulcerative Colitis Ulcerative colitis is an idiopathic inflammatory condition of the colon which results in diffuse friability and superficial erosions on the colonic wa ... Read the Article 1.75 24 Activity Info
Universal Precautions Universal precautions were introduced by the Centers for Disease Control (CDC) in 1985, mostly in response to the human immunodeficiency virus (HIV) e ... Read the Article 1 6 Activity Info
Upper Gastrointestinal Bleeding Upper gastrointestinal bleeding (UGIB) is a common problem that is estimated to occur in 80 to 150 out of 100,000 people each year. Estimated mortalit ... Read the Article 1.25 11 Activity Info
Ursodeoxycholic Acid Ursodeoxycholic acid is a medication used in the management and treatment of cholestatic liver disease. This activity reviews the indications, action, ... Read the Article 1 4 Activity Info
Vibrio Cholerae Cholera is a well-known disease caused by intestinal infection with the toxin-producing bacteria Vibrio cholerae. This potentially fatal diarrheal dis ... Read the Article 1 6 Activity Info
Vibrio Parahaemolyticus Vibrio parahaemolyticus infection can cause variable types of illness including gastroenteritis, wound infections, and, in more severe cases, sepsis. ... Read the Article 1 8 Activity Info
Villous Adenoma Adenoma refers broadly to any benign tumor of glandular tissue. Adenomatous polyps are the most common type of polyp in the colon whose prevalence in ... Read the Article 1 7 Activity Info
Viral Hepatitis Viral hepatitis is a form of hepatitis that can be acute or chronic. It has various presentations and different outcomes, depending on the specific ca ... Read the Article 1 7 Activity Info
Vitamin B12 (Cobalamin) Vitamin B12 (cobalamin) is an essential vitamin and medication used in the management and treatment of pernicious anemia, ileal resection, treatment o ... Read the Article 1.5 16 Activity Info
Vitamin B12 Deficiency Vitamin B12, also known as cobalamin, is a water-soluble vitamin that is derived from animal products such as red meat, dairy, and eggs. Intrinsic fac ... Read the Article 1.75 22 Activity Info
Vitamin C (Ascorbic Acid) Vitamin C is a water-soluble vitamin, antioxidant, and essential co-factor for collagen biosynthesis, carnitine and catecholamine metabolism, and diet ... Read the Article 1 5 Activity Info
Vitamin D Deficiency Vitamin D is a fat-soluble vitamin used by the body for normal bone development and maintenance by increasing the absorption of calcium, magnesium, an ... Read the Article 1.25 8 Activity Info
Vitamin K Deficiency Vitamin K refers to a group of fat-soluble compounds involved in coagulation, bone development, and cardiovascular health. Vitamin K deficiency can co ... Read the Article 1.25 11 Activity Info
Whipple Disease The gram-positive bacterium, Tropheryma Whipplei causes Whipple's disease. Whipple disease is a systemic disorder which not only involves malabsorptio ... Read the Article 1.5 14 Activity Info
Wilson Disease Wilson disease (hepatolenticular degeneration) is a rare, autosomal recessive disorder caused by abnormal copper accumulation in the body particularly ... Read the Article 2 26 Activity Info
Yersinia Enterocolitica In order to improve health outcomes for patients, practitioners should recognize that yersinia enterocolitica has an acute diarrheal form of infection ... Read the Article 1 7 Activity Info
Zenker Diverticulum Zenker diverticulum develops in the hypopharynx, typically between the cricopharyngeus muscle and the inferior pharyngeal constrictor muscle at the le ... Read the Article 1.25 8 Activity Info
Zinc Deficiency Zinc deficiency is common worldwide but is seen with greater frequency in developing countries. Zinc deficiency can be inherited or acquired, and typi ... Read the Article 1 7 Activity Info
Zollinger Ellison Syndrome Zollinger-Ellison syndrome could impact the patient's quality of life and increase mortality if it is not recognized and treated. This activity covers ... Read the Article 1.25 11 Activity Info

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