Run the List

Dr. Raymond Chung, a gastroenterologist and Transplant Hematologist who is the Director of the Hepatology and Liver Center at MGH and a Professor of Medicine at Harvard Medical School, discusses acute liver failure with Dr. Joyce Zhou, a RTL host and internal medicine resident. In the episode, he defines acute liver failure (ALF) and discusses pathophysiology, etiologies of ALF, complications by system, and tenets of management. He also discusses new treatments for liver failure in the developmental pipeline.

Dr. Raymond Chung, a Gastroenterologist and Transplant Hepatologist who is the Director of the Hepatology and Liver Center at MGH and a Professor of Medicine at Harvard Medical School, joins host of RTL and internal medicine resident, Dr. Joyce Zhou, to discuss an approach to decompensated cirrhosis. In the episode, the two cover underlying pathophysiology, complications, and management of patients with cirrhosis from oral medications through transplant consideration. Their discussion touches on ascites, esophageal varices, hepatic encephalopathy, SBP diagnosis, TIPS use, hepato-renal syndrome, and more. The episode closes with Dr. Chung’s big picture pearls for thinking about and caring for cirrhotic patients.

Dr. Sasha-Deutsch Link, a Gastroenterology and Hepatology fellow at the University of North Carolina (UNC), joins host her co-fellow Dr. Walker Redd, co-founder and host of RTL, to discuss Alcohol-Associated Liver Disease. Through a case discussion of a patient with acute alcohol-associated hepatitis, they review patient-centered terminology, the relevant diagnostic workup, and how to think both acute and chronic alcohol-associated liver disease. They also cover important principles of management, including supportive care, nutrition, pyschosocial support, pharmacotherapy for alcohol cessation, and consideration of early liver transplant, as well as the importance of longitudinal follow-up.

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.

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 Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss Inflammatory Bowel Disease. Building on the prior episode covering an approach to diarrhea, they first discuss diagnosing IBD and distinguishing between ulcerative colitis (UC) and Crohn's disease (CD). Through a case discussion of a patient with UC, they provide an overview the initial management options for lower risk patients with mild to moderate UC and then review how to manage an acute, severe UC flare.

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 diarrhea. In this episode, Navin discusses his framework for thinking through these cases, from patient history to chronicity and quality. Through a case discussion, they review the definition of diarrhea, the broad types of diarrhea (watery, fatty, and inflammatory), and how to further workup these cases using colonoscopy and biopsy. The episode closes with a diagnosis and three clinical pearls, setting the stage for RTL's next episode dedicated to IBD 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 Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss biliary tract stone disease. In this episode, Navin and Walker share how they approach common presentations of gallstone pathology. Through a case discussion, they review the terminology used to distinguish the different conditions, initial management steps, further workup including appropriate imaging studies, and the role of the Advanced Endoscopy and general surgery teams.

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 Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss lower GI bleeding. In this episode, Navin and Walker share how they approach lower GI bleeding. Through a case discussion, they review strategies for localizing the source of bleeding, initial management steps, the approach to endoscopic evaluation, and how to effectively communicate with the GI consult team.

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 Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss variceal upper GI bleeding to build upon the principles discussed in the non-variceal UGIB episode. In this episode, Navin and Walker use a case discussion to emphasize the importance of recognizing which patients are at risk for variceal bleeding, what distinguishes variceal GI bleeding from other sources of GIB, initial steps in management, and additional considerations to keep in mind when caring for these patients.

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 continues Season 2 of RTL’s partnership with McGraw Hill Medical by discussing upper GI bleeding with Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL. In this episode, Navin and Walker share how they approach non-variceal upper GI bleeding. Through a case discussion of this common presentation, they review how to localize the potential source, frame the differential diagnosis, initially manage these patients, how to effectively communicate with the GI consult team, and the role of endoscopy.