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Management of Medically Refractory Gastroparesis

Gastroparesis Pathophysiology
Initial Evaluation
Management
Medications for Medically Refractory Gastroparesis
Gastric Electrical Stimulation
Pylorus Directed Therapies

Dr. Chaitanya
Management of Medically Refractory ... for Medically Refractory ... Gastroparesis #Refractory
Behcet's Syndrome - Treatment
Ulcers:
 • Treatment: Topical steroids
 • Prevention: Colchicine
 • Azathioprine for refractory disease
Arthritis:
Azathioprine for refractory ... inhibitors for refractory ... Prednisone for refractory ... for unusual or refractory ... inhibitors for refractory
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
adjunctive pressor in refractory ... Symptomatic bradycardia, Refractory ... /distributive (refractory ... Methylene Blue - Refractory
Status	Epilepticus	Algorithm
#Pharm #Management #Peds #Status #Epilepticus #Refractory #Seizures #PEMSource
#Epilepticus #Refractory
Indications for Emergent Hemodialysis

Indications: "AEIOU" 
 A - Acidosis ( pH < 7.1 ) 
 E
Electrolytes - refractory ... Overload with fluid refractory
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
muscle weakness, refractory ... Urine Free by LC-MS ... /MS) • Adrenocorticotropic
Aplastic Anemia Summary

 • Definition
 • Pathophysiology
 • DDx: AA vs Hypocellular MDS
 • Expectation
 •
• Relapse and Refractory
Benzodiazepine-Refractory Alcohol Withdrawal Medications #alcoholwithdrawal #ketamine #phenobarbital #propofol #dexmedetomidine #toxicology #table
Benzodiazepine-Refractory
The 3 Fates of a Premature Atrial Complex
 • PAC can be conducted with normal QRS
bundle branch refractory ... during the absolute refractory
Ankle Clonus on Physical Exam

Turns out to be refractory status due to vertebrobasilar thrombosis... Only one
Turns out to be refractory