The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
- Start with reason for consult
- I-liner summary
- Symptoms: Melena, hematemesis, hematochezia
- Reason for admission (if different)
Date:
- Vitals
- Notable physical exam findings (rectal exam)
- CBC
- Coags, LFTs, lipase
PMH:
- Focus on prior GI/Liver History
- Prior endoscopy & endoscopist
- GI surgeries
- Other PMH: Cardiac/pulm/oncologic
Meds:
- Antiplatelet & AC/ NOACs
- NSAlDs
Course:
- NPO status, time of last meal
- Treatment started (PPI IV, octreotide, antibx)
- Transfusions
Gregory Brennan MD https://twitter.com/GregoryTBrennan
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