Louisville Lectures

Open Access Medical Education

Committed to sharing Internal Medicine focused lectures as free open access medical education.

Filtering by Category: GI and Hepatology

GI Cancers for the Internist

Rebecca Redman presents an approach to GI cancers from the perspective of an internist. She covers workup of gastrointestinal cancers, the differences between curative and palliative treatment, and types of treatment. She spends a great deal of time on colorectal cancer then discusses esophageal and gastric cancers, hepatocellular carcinoma, pancreatic cancer and GI neuroendocrine tumors. 

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Cirrhotic Ascites with Dr. Beauerle

Dr. Brian Beauerle covers the basics of cirrhosis including pathophysiology, symptoms and survival of patients with survival. He covers when and how to perform a paracentesis including interpretation of results. He discusses pharmacologic and dietary treatment of ascites and refractory ascites. He closes with complications of ascites including spontaneous bacterial peritonitis and hepatic hydrothorax.

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Grand Rounds: Management of C.difficile and Fecal Microbiota Transplant With Dr. Krueger

Dr. Kris Krueger reviews the epidemiology and pathogenesis of C.difficile in the U.S. Then, she gives an update on current medical treatments including antibiotic, probiotic and surgical treatment before covering the evidence behind fecal microbial transplant. She also addresses prevention strategies and emerging C.difficile therapies such as immunotherapy and vaccines.

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Grand Rounds: Islet Cell Autotransplantation With Dr. Hughes

Dr. Mike Hughes discusses innovative medical care of chronic pancreatitis with ground-breaking work on auto-islet cell transplantation. He covers differences in auto vs. allo transplantation, indications of transplantation, evaluation of prospective transplant patients, peri-operative and outpatient management, and observed outcomes post-surgery. The lecture spends time reviewing several ongoing research projects at University of Louisville  by several labs researching facets of this topic.  

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Minimizing Complications in Cirrhosis with Dr. Marsano

Dr. Luis Marsano delves into providing adequate nutrition for patients with cirrhosis to prevent hepatic encephalopathy and alcoholic hepatitis. He also addresses ascites and hepatorenal syndrome management as well as SBP prevention and GI bleeding.

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Acute Pancreatitis: Medicine vs Surgery with Dr. Roberts

Dr. Roberts addresses one of the age-old discussions between medicine and surgery: what to do with an inflamed pancreas? He does a brief review of  presentation, etiology, severity assessment, complications of pancreatitis and then spends a good deal of time on endoscopic and surgical treatments for pancreatitis and it's complications.

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The Acute Abdomen with Dr. Farmer

Dr. Russell Farmer covers the acute abdomen for internists (from a surgeon's perspective). He reviews history and physical findings tailored to an acute abdomen and works through cases to discuss the following: diverticulitis, appendicitis, pancreatitis, peptic ulcer disease, bowel obstruction, cholecystitis, ovarian torsion, testicular torsion. 

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