15 results
Perioperative IBD Pharmacotherapy Management 
Immunomodulators:
 • Stop MTX one week prior to elective surgery
 • Stop
Pharmacotherapy Management ... Gastroenterology ... Pharmacotherapy #medication ... #Management #preoperative ... #gastroenterology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... murmur 3/6) - Pulmonary ... days before Pulmonary ... medical and surgical management ... stratification #diagnosis
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... 2 hrs - Low dose ... Treatment #AcutePE #Management ... #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Hemodynamics (Stable ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
- Differential Diagnosis ... Primary Vascular: Pulmonary ... : 1) Indications ... #Management #pulmonary ... #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... #criticalcare # ... algorithm #treatment #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... Q6hr) and pain-dose ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
intrinsic PEEP When does ... on ventilator does ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management ... #criticalcare #
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... spleen, brain) Indications ... • Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Laryngeal and pulmonary ... Desire to stop medication ... • Intolerable medication ... #management #Gastroenterology