21 results
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
disease; CRT, cardiac ... hypertension; ICD ... cardioverter-defibrillator; LV ... circulatory support; and MI ... Stages #ACCAHA #Algorithm
IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... #Therapy #Deescalation ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... 78 year old ... chest leads Cardiac ... MRI: https://www.grepmed.com ... Cardiomyopathy #POCUS
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Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 • Refractory
 • Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... Dual #Targeted #Therapy ... #IBDAlgorithm # ... IBD #Algorithm #
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Descents, Rales,+S4, MR ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... Amyloidosis (AL Amyloid, Wild ... differential #cardiology #algorithm
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... and timing with Cardio-OB ... Avoid ARBs • ICD ... investigative therapy ... follow-up with Cardio-OB
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Severe LV dysfunction ... intensive medical therapy ... New/worsening MR ... #Indications #Cardiac
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
framework to guide therapy ... hemodynamics and cardiac ... may benefit from LV ... Cardiac cath if ... #differential #algorithm