93 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 ... Disorders of Gut-Brain ... Distension #Bloating #Management
Septic arthritis #diagnosis #algorithm #management #treatment
Septic arthritis ... #diagnosis #algorithm ... #management #treatment
Irritable Bowel Syndrome (IBS) Treatment Algorithm

IBS-Constipation:
 • Constipation: Osmotic laxatives
 • Abdominal pain: Antispasmodics

IBS-Diarrhea:
 • Diarrhea:
Syndrome (IBS) Treatment ... Algorithm IBS-Constipation ... • Abdominal pain ... • Abdominal pain ... #Management #Algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Ulcerative Colitis - Management ... Algorithm Loss ... ≠ Treatment Failure ... #Colitis #UC #Management ... #Treatment
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Epigastric/chest pain ... , Sepsis Diagnosis ... Klebsiella, pneumoniae) Management ... PPI gtt, GI and Surgery ... esophagus #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Distributive: Sepsis ... Losses, Third Spacing ... Dehydration Shock Treatment ... #criticalcare #algorithm ... #treatment #management
Microscopic Colitis - Management Algorithm
Induction: Budesonide 9 mg daily, 6 to 8 weeks
Maintenance: Budesonide low-dose (3-6
Microscopic Colitis - Management ... Algorithm Induction ... , vedolizumab, surgery ... Microscopic #Colitis #Management ... #Algorithm #treatment
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Diagnosis and Management ... hot, swollen, pain ... arthritis diagnosis Treatment ... cervical, anal Cxs ... patient admitted for treatment
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
OR NON-WEIGHT BEARING ... Malignancy - Night pain ... neurology, back pain ... involvement Sepsis ... #Limping #NWB #Algorithm
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Opioid Stewardship Algorithm ... Patient Specific, Pain ... Medication Assisted Treatment ... Sergey Motov @painfreeED ... #Management #Pain