Background: Large volume preparations that are polyethylene glycol based (such as GoLYTELY and MiraLAX) are the mainstay of bowel preparation regimens at many institutions. Studies have shown that patients prefer lower volume preparations compared to the standard 4 Liters of polyethylene glycol electrolyte solutions (PEG- ELS). Although data has been collected on low volume bowel [...]

Case Presentation: A 61 year old female presented to the emergency department with 1 day of nausea, vomiting, and fever. The day prior to her symptom onset, she had undergone a colonoscopy for colon cancer screening that was normal. Her medical history was notable for splenectomy in 2000 for a hamartoma.On presentation, her temperature was [...]

Background: Some patients lack the functional capability or social support to perform their own colonoscopy bowel preparation. These patients may be admitted to Inpatient units for support with the bowel preparation, but this process can be costly, lead to long lengths of stay, and decrease the admitting capacity of the hospital. An observation unit may [...]

Case Presentation: This patient is a 34 year old female presenting to the ED complaining of progressive weakness,SOB, bloody vomitus, and tarry stool. She had PMH significant for established diagnosis of Bean Syndrome. On presentation she was normotensive, 113/72mmHg but tachycardic 102. Labs revealed acute microcytic anemia H/H 6.7/23.6 MVC 70.9 prior to transfusion. She [...]

Case Presentation: A 84-year-old woman, with history of diverticulosis and colonic angiodysplasia treated with argon photocoagulation in the past, underwent esophagogastrodudenoscopy (EGD) and colonoscopy for lower gastrointestinal bleeding. She was found to have multiple angiodysplastic lesions in the gastric body, duodenum and proximal transverse colon which were successfully coagulated for hemostasis using argon plasma at [...]

Case Presentation: A 20-year-old male with a family history of Hepatoblastoma in his brother, presented with a two-week history of intermittent left lower quadrant abdominal pain. He was afebrile and initial work-up showed a normal White blood cell count (WBC), Hemoglobin (Hg) 7.1 g/dl, Mean corpuscular volume (MCV) 71 femtoliters and a positive stool occult [...]

Case Presentation: A 56 year-old male with past medical history of chronic pancreatitis, alcoholic cirrhosis, cured hepatitis C, iron deficiency anemia and gastric arterio-venous malformations (AVM) status post cauterization presented for screening colonoscopy and esophagogastroduodenoscopy (EGD). EGD showed several nonbleeding gastric AVM status post Argon Plasma Coagulation. The colonoscopy was unremarkable without any reported difficulty [...]

Background: Before any gastrointestinal (GI) procedures, it is recommended that patients have no intake of clear liquids (2-4 hours) and solid food (6 hours) prior to induction of sedation to minimize preoperative risks such as regurgitation, pulmonary aspiration, and other risks associated with sedation. These time frames were determined by previous randomized control trials which [...]

Case Presentation: A 55 year-old man with a history of MSSA Bacteremia, Type II Diabetes, and Hypertension was admitted with pseudomonas bacteremia. Physical exam was notable for a cushingoid appearance. Laboratory studies were remarkable for hypernatremia, hyperkalemia and metabolic alkalosis. Serum morning cortisol was 162 mcg/dL and serum morning ACTH was 297 pg/mL (normal 7-63 [...]