10 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... HSV, Klebsiella, pneumoniae ... ) Management: NPO ... no NGT, mlVF, PPI ... Surgery consults +/- antibiotics
Debridement and Management of Prosthetic Joint Infection (PJI)
Duration of symptoms <3 weeks OR  <30 days
Debridement and Management ... Joint Infection (PJI ... Initial 6-12wk antibiotic ... Cortes_Penfield #PJI ... #Debridement #Management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Diagnosis and Management ... cause: Aspiration pneumonia ... for Klebsiella pneumonia ... substance use • Esophageal ... Lung Abscess Management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... broad spectrum antibiotic ... state) predisposes esophageal ... 48 hours - IV PPI ... Necrosis #diagnosis #management
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... Severity Index (PSI ... evidence) • PSI ... 96.1% • Empiric antibiotic ... CAP #Diagnosis #Management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Diagnosis and Management ... after hemostasis Antibiotics ... Hgb 7-9 g/dL PPI ... adam_c_winters #Esophageal
Pneumonia Severity Index (PSI) as a site-of-care tool. BUN, blood urea nitrogen; CHF, chronic heart failure;
Pneumonia Severity ... Index (PSI) as ... blood pressure #Management ... #EM #IM #Pneumonia ... Stratification #PSI
Pneumonia Severity Index (PSI) as a site-of-care tool. BUN, blood urea nitrogen; CHF, chronic heart failure;
Pneumonia Severity ... Index (PSI) as ... blood pressure #Management ... #EM #IM #Pneumonia ... Stratification #PSI
Pneumonia Severity Index (PSI)  - The PSI was developed from an administrative data set of
Pneumonia Severity ... Index (PSI) - ... The PSI was developed ... of populations #Management ... #EM #IM #Pneumonia
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Treatment of Acute Esophageal ... mortality benefit • PPI ... role in acute esophageal ... endoscopic banding • Antibiotics ... Bleeding #varices #management