10 results
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Issues Diagnosis Algorithm ... Refractory GERD ... Diagnosis #Management #Treatment ... #Algorithm #Gastroenterology
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Buprenorphine-Naloxone ... and treatment of ... COWS is >12, AND ... methadone) #Buprenorphine ... Opioid #Withdrawal #Algorithm
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Disease - IBD Algorithm ... manifestation in 10% • refractory ... IBDAlgorithm #IBD #Algorithm ... #gastroenterology ... #management #treatment
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
CA-Bridge Buprenorphine ... Hospital Quick Start Algorithm ... If patient is stable ... as first-line treatment ... #Treatment #Algorithm
Acute Pouchitis - Management Algorithm
Ciprofloxacin 500 mg/12 h or metronidazole 20 mg/kg/d x 2 weeks
 -
Pouchitis - Management Algorithm ... Ciprofloxacin 500 mg/12 ... #treatment #IBD ... #gastroenterology ... #Refractory
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic ... EOE) Management Algorithm ... #EoE #Refractory ... Esophagitis #Management #Algorithm ... #gastroenterology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... push followed by 12 ... - Repeat 12 ... #Tachycardia #Treatment ... management #cardiology #algorithm
Refractory Helicobacter Pylori Infection

Causes:
 • Antibiotic resistance (i.e. prior antibiotic exposure to levofloxacin)
 • Non-adherence (i.e.
Refractory Helicobacter ... leads to more treatment ... EmoryGastroHep #Refractory ... diagnosis #management #algorithm ... #gastroenterology
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
assessment • 0 - able ... still, but is able ... piloerrection 5—12 ... Hospital Opioid Use Treatment ... Withdrawal #Scale #Buprenorphine
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
Refractory Ascites ... occasions within a 12 ... encephalopathy #Refractory ... diagnosis #management #algorithm ... #treatment #hepatology