22 results
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
intolerance suspected, Colonoscopy ... performed, may show melanosis ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy
Melanosis coli on Colonoscopy
 - Benign finding on colonoscopy
 - Ask about senna (anthranoid) use
Melanosis coli on ... Colonoscopy - ... Benign finding on colonoscopy ... , ↑ adenomas #Melanosis ... #coli #Colonoscopy
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
) • FCP, CRP, Colonoscopy ... Escalate Treatment ... Colitis Escalate Treatment ... #5ASA #Refractory #Treatment
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Consider cause and if treatment ... - 6.4 mmol/L - Treatment ... /L - Emergency treatment ... Gluconate IV Shift ... management #algorithm #treatment
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... • IV Fluids Shift
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... cardiac membrane Shift ... as a standalone treatment ... #Hyperkalemia #Treatment
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Shift of extracellular ... oxidative iniury Treatment ... Summary #causes #treatment
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
blocks, QRS axis shift ... management #algorithm #treatment
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Electrolyte/fluid shifts ... • These shifts ... hyperparathyroidism Treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Shift of extracellular ... oxidative injury Treatment ... Treatment of underlying ... Management #causes #treatment