8 results
Types of Bariatric Surgery
Adjustable Gastric Banding:
 • Decreasing in prevalence, 3% of bariatric surgeries performed
 •
bypassing small bowel ... acid, bypass of ... Complications — dumping syndrome ... internal hernia, bowel ... #bypass #gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Fundoplication, Bariatric ... Gastroparesis • Chronic Gastric ... Syndrome • Chronic ... #gastroenterology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... bolus to the small bowel ... bypass causes increased ... Complications #gastric
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
Supplementation Post Gastric ... folate, iron, B12 ... • Persistent nausea ... years • Pervasive neurologic ... Bypass #Surgery #bariatric
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Deficiencies After Gastric ... ataxia), Korsakoff syndrome ... anemia • Vitamin B12 ... vitamin #nutrition #table ... differential #diagnosis #bariatric
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... D-lactate (short bowel ... syndrome, intestinal ... Diagnosis #Summary #Nephrology ... ABG #bloodgas #Acid
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Bumetanide, Ethacrynic acid ... Kidney stones caused ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Medications #Table
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Phos, high uric acid ... rasburicase if uric acid ... Treat underlying cause ... urinary retention, bowel ... treat - Calcium > 12