General Internal Medicine   

Would you recommend repeat POEM, Heller myotomy, or pneumatic dilation?

What role does TIPS play when other approaches have been exhausted?

Would empiric esophageal dilation exacerbate GERD physiology?

Would you send a CMV DNA PCR in blood, and if you elect to treat with anti-CMV medication, how long would you treat and what parameters would you use,...

Do you generally recommend anti-diarrheals, dietary modifications, or consider this an unacceptable side effect and move to other therapies? 

HFE gene mutations in C282Y and H63D are negative.

Since the COVID-19 pandemic, increasingly we see management of acute cholecystitis with cholecystostomy tubes as opposed to surgery, even amongst pati...

IgG4 manifestations include autoimmune pancreatitis and periaortic soft tissue mass.

For example, in patients who are HbSAg negative, anti-HBc positive and HbSAb negative, does vaccination reduce reactivation risk?

The patient is on mesalamine for Crohn’s and CellCept and HCQ for skin manifestations (currently on hold during workup). The infectious workup i...

Is liquid biopsy helpful? Would you treat if this shows somatic mutation?

How do you approach de-escalation or justify therapy maintenance? Do you have tiers of medications that you attempt to de-escalate first? In one parti...

Would the etiology of the thrombocytosis play a role in your decision-making?

If the patient is outpatient and coming into clinic each day, at what point would you initiate a C. diff workup?

Have you noted significant diarrhea until the ileostomy is reversed?

Are there any medications that you can prescribe? Diet changes? Does this typically resolve on its own after time?

Multiple lesions on PET

If so, how would positive levels guide your management?

Are there any indications to choose one over the other?