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Combining Methadone With Other Long-acting and Short-acting Opioids for Pain Management
Why am I seeing more and more patients with prescriptions for massive amounts of pain medication who are taking methadone plus narcotics?
Medscape Pharmacists, March 2006
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Diagnosis of HBeAg-Negative/HBeAb-Positive Patient
Paul Martin, MD, evaluates the case of a 32-year-old patient who is HBeAg-negative/HBeAb-positive, with normal liver enzymes and a high HBV-DNA titer.
Medscape Gastroenterology, February 2006
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What Is the Role of Food Allergy and/or Intolerance in the Genesis of IBD?
Sunanda V. Kane, MD, MSPH, FACG, discusses the current clinical experience regarding the pathogenesis and pathology of true food allergies vs true IBD.
Medscape Gastroenterology, February 2006
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Pediatric Patient With Transplacental-Acquired HBV Infection
Would you recommend treating a pediatric patient with transplacental-acquired HBV infection, with positive serology and HBV DNA titer but normal liver enzymes?
Medscape Gastroenterology, January 2006
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Recommended Approach to the Black Patient With End-Stage Renal Disease and Hepatitis C?
The patient is 55 years old and black with a history of hypertension, diabetes mellitus, end-stage renal disease, and hepatitis C (genotype 1) who is undergoing evaluation for renal transplant.
Medscape Gastroenterology, January 2006
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Approach to the Patient With Suspected Inflammatory Bowel Disease
What further investigative tests are recommended for patients with suspected IBD who have normal work-up? Is empiric therapy ever recommended for such patients? Bret Lashner, MD, explores the issues.
Medscape Gastroenterology, January 2006
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Sepsis Following Biliary Stenting
What is the recommendation for sepsis following biliary stenting? John Baillie, MD, explores the issues.
Medscape Gastroenterology, January 2006
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Recommended Approach to the Asymptomatic Patient With Inflammatory Bowel Disease?
What is the recommended approach to the asymptomatic patient with IBD who has moderately severe active disease on endoscopy?
Medscape Gastroenterology, January 2006
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Persistent Constipation Following Rectopexy and Biofeedback Treatment
The patient is a 34-year-old woman with difficult defecation for many years. Yehuda Ringel, MD, explores the approach to this clinical scenario.
Medscape Gastroenterology, December 2005
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Kidney Transplant Candidate With Liver Disease
Is this patient with hepatitis-related histologic findings of liver disease a good candidate for kidney transplantation?
Medscape Transplantation, November 2005
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Single-Contrast Barium Enema After Unsuccessful Colonoscopy?
Is single-contrast barium enema acceptable management for the patient following unsuccessful colonoscopy? Is air contrast better, or should a repeat colonoscopy be planned?
Medscape Gastroenterology, November 2005
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Liver Biopsy Recommended for a 32-Year-Old Patient With HBeAb-Positive Chronic Hepatitis B?
Is liver biopsy recommended in a 32-year-old patient with HBeAb-positive chronic hepatitis B, with normal liver enzymes and a high hepatitis B virus (HBV) titer?
Medscape Gastroenterology, October 2005
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Recommended Treatment for an 80-Year-Old Woman With Achalasia?
The patient is an 80-year-old nonobese woman with achalasia. What is the recommended approach to management: botulinum toxin injection, pneumatic dilation, or thoracoscopy-assisted Heller myotomy?
Medscape Gastroenterology, September 2005
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Precore and Core Promoter Mutations in Hepatitis B Virus Infection
What is the difference between precore mutations and core promoter mutations in HBV infection in terms of disease pattern and response to therapy? William F. Balistreri, MD, discusses the issue.
Medscape Gastroenterology, September 2005
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G-CSF During Chronic Hepatitis C Treatment With Pegylated Interferon/Ribavirin-Based Therapy?
Is the use of G-CSF recommended in patients who develop neutropenia and/or thrombocytopenia during chronic hepatitis C treatment with peginterferon/ribavirin-based therapy, despite dose reduction?
Medscape Gastroenterology, August 2005
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The Role of Pancreatic Stenting in the Management of Pancreatic Fistula?
What is the role of pancreatic stenting in the management of pancreatic fistula? John Baillie, MD, Biliary and Pancreatic Disorders Service, Duke University Medical School, explores the issue.
Medscape Gastroenterology, August 2005
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Routine Screening for HCC Recommended for the Hepatitis B Patient in the Inactive Carrier State?
Is routine screening for hepatocellular carcinoma recommended for the hepatitis B patient in the inactive carrier state? Emmet B. Keeffe, MD, explores the issue.
Medscape Gastroenterology, July 2005
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Corticosteroid Therapy After Surgical Resection for Crohn's Disease?
What is the appropriate timing for restarting corticosteroid therapy after surgical resection for Crohn's disease? Bret A. Lashner, MD, explores the issue.
Medscape Gastroenterology, July 2005
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Subtotal Colectomy in a Young Patient With a Single Adenocarcinoma Found on Colonoscopy?
Are there circumstances in which a subtotal colectomy might be recommended for a young patient with a single adenocarcinoma found on colonoscopy without previous family history or colitis?
Medscape Gastroenterology, July 2005
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Hepatitis C in a Patient Being Evaluated for Kidney Transplantation?
Is there a role for treating hepatitis C in a patient being evaluated for kidney transplantation? Adrian Di Bisceglie, MD, FACP, explores the issue.
Medscape Gastroenterology, June 2005
