22 results
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... beveled so kept slipping ... hold from sharp end ... Nail #Removal #Endoscopy ... #egd #esophagogastroduodenoscopy
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Management Summary PRE-ENDOSCOPY ... , Can consider stopping ... Endoscopic variceal ... ligation - EGD ... Surveillance EGD
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
days) -> consider stopping ... Fibrinogen >120 refer ... products E - Endoscopy ... settings - Pre-endoscopic ... Care - Endoscopy
Tromner Sign on Physical Exam

Tromner sign indicates pyramidal release.  The Tromner sign is flexion of
in response to tapping ... Tromners #Sign #Reflex
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology Endoscopy ... OVER-THE-SCOPE CLIP - Clipping ... LIGATOR - For endoscopic ... procedures GI Endoscopes ... #accessories #EGD
Bleeding Dieulafoy's Lesion within the duodenum - Resolved with Clip

Carlos Zavaleta MD FACS @CMZavaletaMD

#Dieulafoys #Lesion #GIBleed
GIBleed #duodenum #Clipping ... #EGD #Endoscopy
Hip adductor reflex

The adductor reflex is elicited by tapping over either the medial epicondyle of the
Hip adductor reflex ... The adductor reflex ... is elicited by tapping ... Hip #adductor #reflex
ED Thoracotomy Instructions

Getting Into the Chest:
1. Bilateral finger thoracotomies
  • 4th or 5th intercostal space
ED Thoracotomy Instructions ... flat hands • Clapping
Air trapping (auto-PEEP) = gas trapped in alveoli at end-expiration. Suspect auto-PEEP if P(plat) >30 cm
Air trapping (auto-PEEP ... in alveoli at end-expiration ... Prevent further air trapping
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Progressive air trapping ... hyperinflation → ↑Palv at end