Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.
Evaluation of disease extent with the Crohn's disease endoscopic index of severity. The four endoscopic variables described below are scored for each of the following locations: rectum; sigmoid and left colon; transverse colon; right colon; and ileum. Total score is divided by the number of locations explored (1–5). An additional 3 points are given if ulcerated stenosis is present, and a further 3 points are given if nonulcerated stenosis is present. CDEIS scores range from 0 to 44.
Most commonly, Crohn's affects the small intestine and the beginning of the large intestine. However, the disease can affect any part of the GI tract, from the mouth to the anus. Crohn's disease is a chronic inflammatory disease of the GI tract, called inflammatory bowel disease (IBD). It can be classified by using vienna classification system.
Non-neoplastic portal vein thrombosis (PVT) is an increasingly recognized complication of liver cirrhosis. It is often diagnosed fortuitously and can be either partial or complete. The clinical significance of PVT is not obvious except in some situations such as when patients are on the waiting list for liver transplantation. The only known therapy is anticoagulation which has been shown to permit the disappearance of thrombosis and to prevent further extension. Anticoagulation is a challenging therapy in individuals with liver cirrhosis because of the well-recognized coagulation abnormalities observed in that setting and because of the increased risk of bleeding, especially from gastrointestinal tract caused by portal hypertension.
BB= Beta blockers
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