7 results
Functional GI Disorders in IBD - IBD Algorithm

Background:
 • 25-40% of IBD in remission have IBS
Functional GI Disorders ... in IBD - IBD Algorithm ... • Strong correlation ... @wabillin #Functional ... #Algorithm #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... fluoroquinolone to complete ... R-sided cardiac function ... Propranolol 10mg BID ... Esophageal #Variceal #Bleeding
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Increased Loss: • GI ... transport, renal function ... Gastrointestinal function ... homeostasis is complex
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Cirrhosis & GI ... bleeding - EUS-FNA ... cardiac devices (ICD ... upper or lower GI ... cholangitis: ERCP complete
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... • Occult UGI bleeding ... , asymptomatic IBD ... Overt Bleeding ... OUT BRISK Upper GI
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI ... Bleeding - Scoping ... Infusion = 40mg IV BID ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm
Oral anticoagulants and reversal/hemostatic strategies. 

In the elegant tug-of-war between thrombosis and hemostasis, prescribing an anticoagulant
expected; Prothrombin Complex ... Andexanet alfa, which function ... administrative correction ... #Plasma #FFP #Bleeding