19 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... • Prior GEJ surgery ... Fundoplication, Bariatric surgery ... obstruction (CIPO) Disorders ... Distension #Bloating #Management
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Buprenorphine-Naloxone and treatment ... an opioid use disorder ... Opioid #Withdrawal #Algorithm ... #Management #Addiction
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
Meta-analyses of RCTs ... Guideline for the Management ... compared the study treatment ... with ‘treatment ... and 5.4 #EBM #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... - Management of ... high-affinity, partial ... treating opioid use disorder ... #Algorithm #Addiction
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Crohn's Disease Management ... • Serial Dilation ... Fistula: Consult CTS ... Crohns #Disease #Management ... #Algorithm #treatment
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Opioid Stewardship Algorithm ... Medication Assisted Treatment ... with Opioid Use Disorder ... Sergey Motov @painfreeED ... #Management #Pain
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... of Opioid Use Disorder ... medication assisted treatment ... naloxone as a trial ... #UseDisorder #Addiction
Treatment of Alcohol Use Disorder

Treatment options for AUD include psychosocial treatment and medications. Individualize based on
Treatment of Alcohol ... Use Disorder ... highly motivated pts ... #UseDisorder #Addiction ... #Management #AUD
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... Before antireflux surgery ... exclude motility disorders ... - Antireflux surgery ... Disease #diagnosis #management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Connective tissue disorder ... • Cardiac surgery ... catheterization • Thoracic ... deficit • Shock Treatment ... Dissection #diagnosis #management