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Full-Text Articles in Medicine and Health Sciences
The Diagnostic Yield Of Endoscopic Ultrasound In Asymptomatic Patients With Unexplained Dilated Common Bile Duct, Or Double Duct Sign With Normal Transaminases A Retrospective Study From A Single Urban-Based University Endoscopy Center, Mina Fransawy Alkomos, Shaker Barham, Youssef Botros, Nader Mekheal, Ariana Tagliaferri, Alisa Farokhian, Hardikkumar M. Shah, Gabriel Melki, Yana Cavanagh, Walid Baddoura, Matthew Grossman
The Diagnostic Yield Of Endoscopic Ultrasound In Asymptomatic Patients With Unexplained Dilated Common Bile Duct, Or Double Duct Sign With Normal Transaminases A Retrospective Study From A Single Urban-Based University Endoscopy Center, Mina Fransawy Alkomos, Shaker Barham, Youssef Botros, Nader Mekheal, Ariana Tagliaferri, Alisa Farokhian, Hardikkumar M. Shah, Gabriel Melki, Yana Cavanagh, Walid Baddoura, Matthew Grossman
Journal of Community Hospital Internal Medicine Perspectives
Background Common bile duct dilatation alone or double duct sign (both CBD and dilated pancreatic duct dilatation ) and abnormal liver enzymes are highly predictive of biliary disease. This can be identified on ultrasound (US), CT scan, and/or magnetic resonance cholangiopancreatography (MRCP). Unexplained dilatation on imaging might warrant endoscopic ultrasound (EUS) to identify any occult causes. Supporting literature about the importance of using EUS in these conditions is evolving with no clear evidence-based approach to evaluate asymptomatic dilated ducts. We aim to investigate the diagnostic yield of EUS in unexplained CBD dilatation or double duct sign with normal liver enzymes. …
De-Implementation Of Fecal Occult Blood Testing In The Emergency Department And Hospital Units: A Quality Improvement Project, Adewale Ajumobi, Joline De Castro, Ammar Qureshi
De-Implementation Of Fecal Occult Blood Testing In The Emergency Department And Hospital Units: A Quality Improvement Project, Adewale Ajumobi, Joline De Castro, Ammar Qureshi
Journal of Community Hospital Internal Medicine Perspectives
Background: Fecal occult blood tests (FOBT) are inappropriately used in patients with melena, hematochezia, coffee ground emesis, iron deficiency anemia, and diarrhea. The use of FOBT for reasons other than screening for colorectal cancer is considered low-value and unnecessary. Methods: Quality Improvement Project that utilized education, Best Practice Advisory (BPA) and modification of order sets in the electronic health record (EHR). The interventions were done in a sequential order based on the Plan-Do-Study-Act (PDSA) method. An annotated run chart was used to analyze the collected data. Results: Education and Best Practice Advisory within the EHR led to significant reduction in …