22 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
• Prior GEJ surgery ... Fundoplication, Bariatric surgery ... Bloating #Management #Diagnosis ... #Algorithm #Treatment ... #gastroenterology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... ischemia -> Coronary CTA ... coronary syndrome (ACS ... Angina #ChestPain #Diagnosis ... #Management #Algorithm
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Disease Management Algorithm ... • Serial Dilation ... Fistula: Consult CTS ... Esophagectomy Algorithm ... #treatment #IBD
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Hypercoagulable State Arterial ... risk actor for arterial ... Provoked (e.g. surgery ... Workup #hematology #diagnosis ... #algorithm #hematology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Before antireflux surgery ... - Antireflux surgery ... Reflux #Disease #diagnosis ... #management #Gastroenterology
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Injuries by System: CNS ... immediate, prior to ED arrival ... especially with AC ... Electricity #Evaluation #Diagnosis ... Management #Emergency #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... algorithm to determine ... indication of AC ... CARP, DECREASE V trials ... stratification #diagnosis
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Carcinoma (RCC) - Diagnosis ... disease Imaging and Treatment ... Hypercalcemia 4. ↑ AST ... Rx of choice: surgery ... Carcinoma #RCC #Diagnosis
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Catecholamine-secreting neoplasms of pts ... and Signs: 50% pts ... • Classic triad ... of anesthesia, surgery ... management and then surgery
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
papilla or distort its ... gastrectomy / Roux-en-Y surgery ... Difficult #ercp #gastroenterology ... #management #diagnosis