10 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and ... IBD - Management ... Colonoscopy +/- EGD ... #management #gastroenterology ... #indications
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... indications → PPI ... symptom recurrence → EGD ... failure + negative EGD ... Refractory GERD when EGD
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
in SBP > 40 - End-organ ... Failure, Toxins/Medications ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Management Algorithm ... Adjust IS medications ... Colonoscopy +/- EGD ... Diarrhea #Workup #Management ... #Algorithm #Transplant
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Acute ED Migraine ... Therapy Algorithm ... Preventative Medications ... #Migraine #management ... #algorithm #treatment
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
Rapid Response Management ... 2) Categorize and ... intervention (EGD ... Gastrointestinal #gastroenterology ... #Management #criticalcare
Endoscopic Submucosal Dissection (ESD) - Polyp Resection Techniques

Technique:
 • The polyp is then lifted by submucosal
Submucosal Dissection (ESD ... Indications: • ... Submucosal #Dissection #ESD ... Polyp #Resection #Management ... #gastroenterology
Orthopedic Platings, Nails and Screws
Bohler’s Stirrup: U shaped device to hold a Steinmann pin and applying
Orthopedic Platings ... , Nails and Screws ... Used in distal end ... Nails #Screws #Orthopedics ... #management #indications
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
ICD/pacers) - Orthopedic ... active GI infection and ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology ... #Management
Who to block and who not to block? Guidelines for Emergency Regional Anesthesiafor Trauma Orthopedic Injuries
Block
radius fracture • Hand ... will require in ED ... Orthopedic service ... #NerveBlock #Indications ... #Management #Regional