Navin Kumar

Dr. Navin Kumar, a gastroenterologist from Brigham and Women's Hospital, teams up with Dr. Emily Gutowski, a rheumatology fellow at NYU. They dive deep into gastroesophageal reflux disease (GERD), discussing crucial diagnosis techniques and the importance of recognizing alarm symptoms. The pair sheds light on the underlying anatomy and mechanisms of GERD, including the role of the lower esophageal sphincter. Dietary influences and treatment strategies are also examined, offering insightful advice for effective management.

Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and host Blake Smith discuss how to approach a patient presenting with acute right-upper quadrant (RUQ) pain. Together, they discuss the various causes of RUQ pain, in addition to how to approach a set of liver function tests (LFTs), differentiating hepatocellular injury from a cholestatic pattern. They then discuss how various forms of imaging (RUQUS, CT) can guide diagnosis and management, leading to a discussion about the use of ERCP and cholecystectomy in such cases. Lastly, the episode closes with a diagnosis and three clinical pearls about RUQ pain and abnormal LFTs.