**Update** First line treatment for Eosinophilic Esophagitis now includes a Proton pump inhibitors (PPIs) in addition to topical glucocorticoids (inhaled or swallowed).
@gabriellarabbani25816 ай бұрын
YOU ARE A LIFE SAVER!!!!!!!!!! IVE NEVER FELT MORE EXCITED TO STUDY IN MY LIFE SOMETHING ABOUT THE WAY YOU ORGANIZE THE INFO MAKES ME UNDERSTAND IT ALL!! TRULY THE MOST HELPFUL CHANNEL IVE EVER COME ACROSS YOU SAVE ME TIME AND TIME AGAIN YOU DESERVE ALL THE BLESSINGS THIS WORLD HAS TO OFFER THANK YOU!!!!!
@cramthepance6 ай бұрын
You are so kind! Thank you so much and best of luck in school!!
@gabriellarabbani25816 ай бұрын
@@cramthepance
@AlhajiMusaDr2 жыл бұрын
Thank you so much. After listening to your video, I can clearly now understand the various esophageal disorders. Very helpful, a big thumbs up!!!!!
@cramthepance2 жыл бұрын
Thank you so much!!
@brileysebek27612 жыл бұрын
These are so helpful! Thank you so much for everything you do!
@cramthepance2 жыл бұрын
No problem! Thank you so much!!
@aarongardner25808 ай бұрын
In 2024 for esophageal pH monitoring some practices now have what is called the BRAVO capsule pH study, which gives you a DeMeester score to determine further management. The capsule is secured 5-6cm proximal to the lower esophageal sphinctor and disconnects on day 4 to be excreted via the bowels.
@starklife2426 Жыл бұрын
Not for school or PANCE exams, but real life information regarding GERD: if your stomach acid is too LOW, the LES pressure sensitivity weakens and opens; so you actually want to increase the stomach acid. Counterintuitive, but it works.
@Cc19283 Жыл бұрын
And that’s why most literature recommend PPI breaks and not taking it more than 4-8 weeks. Good point!!
@Cc19283 Жыл бұрын
I think he mentions this at 16:50 too for reference
@julie-cs7lc Жыл бұрын
For infectious esophagitis, you skipped over the types of ulcers that hsv and cmv have. Also it’s blurred out on the slide in the video. Do you have an update for this?
@flowers72982 жыл бұрын
Thank you for making this video.
@cramthepance2 жыл бұрын
No problem! Thank you!
@suzieajayi84242 жыл бұрын
Absolute best!
@cramthepance2 жыл бұрын
Thank you!!!
@juliaberry22512 жыл бұрын
This is amazing.
@cramthepance2 жыл бұрын
Thank you so much!!!
@NapFroCentrics2 жыл бұрын
Hi!! thanks so much for this. I've been watching your channel for a few months and you've helped me a ton. I just had a quick question about treatment for eosinophilic esophagitis. On AMBOSS it seems the treatment includes PPIs and topical glucocorticoid. Which should I rather rely on? Thanks again :)
@cramthepance2 жыл бұрын
Good point, it looks like the guidelines have changed a bit. So first line now includes PPI's combined with topical glucocorticoids (inhaled fluticasone or swallowed budesonide). Thank you!