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diagnosis stratification bleeding ebm evaluation evidence febrile fever gastrointestinal gi gibleed infant lgib lower lp pediatrics peds perioperative peritonitis preop
“Step by Step” – the new kid on the block – aims to risk stratify this
of serious bacterial ... for each of the components ... of the algorithm ... #Diagnosis #Management ... #LP #Antibiotics
Lower GI Bleed - Management Algorithm Suspected lower GI bleeding (LGIB): • Hematochezia • Melena +
Management Algorithm ... Unstable (Rule out upper ... GI bleed) vs Stable ... LGIB #GIBleed #management ... #gastroenterology
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
improved outcomes 1) Antibiotics ... small study, low-risk ... TMP-SMX • Active upper ... GI bleed: use IV ... SBP #diagnosis #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Key Components: ... physical exam - Key components ... event, follow ACC algorithm ... undergoing AAA or upper ... medical and surgical management
Evidence for Treatment of Acute Esophageal Variceal Bleeding • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... endoscopic banding • Antibiotics ... RR of bacterial ... without increased risk ... Bleeding #varices #management
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