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diagnosis treatment differential esophageal classification endoscopy shock causes criticalcare infectiousdiseases variceal varices checklist cold endoscopic esophagus helicobacter hepatology hpylori indications
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... Pseudomembranous esophagitis, Infection ... Klebsiella, pneumoniae) Management ... Surgery consults +/- antibiotics ... #gastroenterology
Stoma Indications, Output and Complications Stoma Types: • End ileostomy • Loop ileostomy • End colostomy •
changes (brown: post-inflammatory ... dehiscence • Infection ... • Bleeding ... • Persistent infections ... Complications #diagnosis #gastroenterology
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
Diagnosis and Management ... Most invasive infections ... immunosuppression (eg ... IA #Diagnosis #Management ... treatment #fungal #infectiousdiseases
Esophageal Variceal Bleeding - Diagnosis and Management Summary PRE-ENDOSCOPY Vasoactive agents - Octreotide: • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... after hemostasis Antibiotics ... imaging (anatomy) POST-ENDOSCOPY ... Surveillance EGD
Aortoenteric Fistula - Diagnosis and Management Summary Epidemiology: • Uncommon but life-threatening • Most common site of bowel connection
Diagnosis and Management ... may undergo EGD ... Sensitivity of EGD ... - If negative, EGD ... performed with careful inspection
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... response to infection ... Cardiomyopathic → myocardial infarction ... gastrointestinal bleeding ... Types #diagnosis #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... setting of active GI infection ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology ... #Management
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... response to infection ... Cardiomyopathic → myocardial infarction ... gastrointestinal bleeding ... types #diagnosis #management
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
up to 10w post-ABx ... continue Tx for 7d post-Abx ... mg PO qd - If needing ... #treatment #infectiousdiseases ... #IDSA #gastroenterology
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
, resulting in end-organ ... Inflammatory: infectious ... • Hemorrhagic: bleeding ... ) bleeding in (trauma ... Classification #diagnosis #management
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