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The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
The Gastroenterology ... Focus on prior GI/Liver ... : Cardiac/pulm/oncologic ... last meal - Treatment ... Calling #Referral #Gastroenterology
Summary of Infections in which Steroids play a role in treatment
 • TB meningitis
 • TB
play a role in treatment ... reconstitution inflammatory syndrome ... Severe typhoid fever ... • Ramsay Hunt syndrome ... #Steroids #Indications
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
Adjuvant therapies in critical ... Pneumonia - Typhoid fever ... respiratory distress syndrome ... Pharmacology #Management #Treatment ... #Indications
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Aplastic Anemia Clinical ... - Antithyroid medications ... index < 2 • EPO Level ... aplastic anemia Treatment ... Aplastic #Anemia #oncology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... Failure (ACLF) Clinical ... months without treatment ... disease, liver ... Cirrhosis #Hepatology #gastroenterology
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
of Tumor Lysis Syndrome ... (TLS) and Treatment ... Calcium ≤ 7.0 mg/dL Clinical ... #TumorLysis #Syndrome ... diagnosis #management #oncology
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
unresponsive to treatment ... • Elevated liver ... Autoimmune • CVID • Medications ... Diagnosis #Algorithm #gastroenterology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Summary of Oncologic ... → no immediate treatment ... after CRS) - Treatment ... tocilizumab; call oncology ... #Emergencies #Oncology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Macrophage Activation Syndrome ... syndromes Clinical ... is the main clinical ... hypersensitivity syndromes ... Treatment: • Corticosteroids
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
Prevention and Treatment ... Surgery: • Dumping Syndrome ... Gallstones • Liver ... #Differential #Treatment ... #Deficiencies #Gastroenterology