11 results
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
(IBS) - Pathophysiology ... and Management Algorithm ... depression, Poor coping ... -HT4 agonists Pain ... #Pathophysiology
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... Buprenorphine Dosing ... try Bup 0.3mg IV/IM ... co-exisiting chronic pain ... split dosing TID
Acute limb ischemia (ALI)

Rapid decrease in lower limb blood flow due to acute occlusion of peripheral
limb ischemia (ALI ... are abrupt with pain ... pathophysiology: ... diseased arteries during ... angioplasty balloons, & stents
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
- Remove all ... this maneuver does ... injury or after IM ... - Intense pain ... days, the local pain
Adrenal Crisis
Do not confuse acute adrenal crisis with Addison disease. In 1855, Thomas Addison described a
Addison described a syndrome ... vomiting, abdominal pain ... supraphysiologic or stress doses ... common cause (70%) during ... hydrocortisonr #ACTH #AI
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... Other triggering events ... the underlying pathophysiology ... Hospital of Baltimore IM ... Guillain #Barre #Syndrome
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd pain ... Syndrome: 3d of ... headache and abd pain ... or PenG 800K U IM ... treated in a single dose
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
abdomen if abdominal pain ... 24-48 h and ANC rising ... incontinence - High-dose ... fever, weight gain ... differentiating agent
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • Mutism Pathophysiology ... stimulation to all ... Possible responses to pain
Rome IV Criteria for diagnosing Functional Abdominal Pain Disorders (FAPD)
Irritable bowel syndrome
The criteria must be fulfilled
Irritable bowel syndrome ... does not resolve ... irritable bowel syndrome ... solely during physiological ... events (for example