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Board Pearls is a gastroenterology board review built around clinical reasoning, not recall. Each episode takes one high-yield topic and works it the way you would on rounds: a case to anchor it, the framework that sorts the differential, and the specific decisions the exam rewards. The gastroenterology series covers the full blueprint across nine modules: esophagus, stomach and duodenum, small bowel, colon, pelvic floor, liver, pancreas and biliary, endoscopy, and the cross-cutting topics. Episodes are grouped by chapter and built from the primary guidelines and pivotal trials the boards draw from (ACG, AGA, AASLD, ASGE), not from textbook summaries. Use it as an audio companion to the written curriculum, MCQs, and AI tutor at boardpearls.com. Questions or feedback: hello@boardpearls.com.
Unknown Host hosts Board Pearls.
These patients share one principle: the mucosa was injured by something that touched it, whether an organism the host could not keep down, a tablet that lodged where the lumen narrows, or a swallowed corrosive. Depth ref
Every diagnostic criterion and every drug in the EoE ladder is downstream of one mechanism: a Th2 allergic response to food allergen in a susceptible host that ends in fibrosis, rings, and impaction if untreated. Hold th
The cancer side picks up where eradication ends: the patient whose EMR specimen shows invasion past the mucosa, or who presents with cancer outside a known Barrett field. The histology split, the TNM T categories, and th
Endoscopic eradication rests on a single organizing principle: the Barrett segment holds two kinds of tissue that need two different treatments. Visible disease is resected first because the resection specimen is the sta
Every piece of a Barrett vignette is downstream of the definition, so this episode starts there and holds it precisely: a visible columnar segment above the gastroesophageal junction plus intestinal metaplasia on biopsy.
The patient who anchors this episode is on twice-daily PPI and still symptomatic. The question is not how to escalate, it is what they actually have. Most PPI-refractory patients do not have refractory acid reflux; they
The most useful move at the start of a GERD vignette is to ask what is wrong with the barrier, not how much acid the patient makes. Acid output is usually normal; what fails is the apparatus that keeps acid in the stomac
The normal-IRP side of the Chicago algorithm covers everything that is not achalasia or EGJOO. The sphincter relaxes; the question shifts to what the body is doing. Distal esophageal spasm is a timing problem (premature
High-resolution manometry is the gateway physiologic test after a clean endoscopy in esophageal dysphagia or pre-fundoplication evaluation. The Chicago Classification version 4.0 reduces the report to four numbers read i
These patients carry a surgical or systemic history the EGD report was never built to surface. The connecting principle is simple: the diagnosis lives outside the scope findings, so the job is to ask the question that re
This episode takes the patients who arrive after a structural and reflux workup has already come back clean. Here the history leads and the test only confirms, so the whole skill is recognizing the phenotype on the story
Dysphagia is the symptom that anchors the esophagus chapter, and the whole game is getting to the right test on the first move. Fix the vignette to one quadrant of a two-by-two, anatomy against mechanism, and the test se
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Board Pearls is hosted by Unknown Host. The show is categorised under Education (Health) and has published 0 episodes.
Board Pearls regularly covers Education, Health, Fitness, Medicine. It sits in the Education category, with a Health focus.
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Episodes of Board Pearls average 20 minutes. a focused format where a clear narrative arc and tight preparation matter most.
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