23 results
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Perianal Crohn's Disease ... fistula • ↑ risk ... has carcinoma risk ... IBD #Algorithm #gastroenterology ... #management #treatment
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Consider aortic ... Assess for high risk ... valve disease ... deficit • Shock Treatment
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection ... stroke-like symptoms • Risk ... includes ascending aorta ... - MH/CCF/CWRU EM ... Management #summary #treatment
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
and peptic ulcer disease ... hypercalcemia - Reduces aortic ... salts - Lower risk ... hypercalcemia - No evidence ... of increased risk
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- CV exam (any evidence ... Ischemic heart disease ... : - Known CV disease ... (>5%): - Aortic ... Severe Aortic stenosis
Risk Factors and Signs of Copper Deficiency
Risk Factors:
 • Gastrointestinal: Previous upper bowel resection/bariatric surgery, Inflammatory
Risk Factors and ... Copper Deficiency Risk ... dental fixatives, Treatment ... of Wilson's disease ... Peripheral neuropathy, Optic
Malignant Hyperthermia is a very rare, but life-threatening condition that can occur after using certain anesthetic
diagnosis #management #treatment ... References: What evidence-based ... Diagnosis and treatment ... Therapeutics and Clinical Risk ... Journal of Rare Diseases
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
and biological evidences ... • Autoimmune diseases ... Adult-onset Still disease ... Unknown cause Treatment ... diagnosis #management #treatment
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux Disease ... Incomplete/relief/treatment ... three or more risk ... Gastroesophageal #Reflux #Disease ... diagnosis #management #Gastroenterology
Probiotics Guidelines
Adults with C difficile infection
 • Recommendation: Only in the context of a clinical trial
clinical trial • Evidence ... on antibiotic treatment ... Children with Crohn's disease ... Probiotics #Guidelines #gastroenterology ... #ebm