Archive

Medical Category: Abdominal and Gastroinstestinal

Please Pass the Antacids – Will PEPTIC Change our Approach to ICU Stress Ulcer Prophylaxis?

Background: Critical illness and ICU admission comes with significant consequences – not just from the primary pathology but also from the secondary effects of therapies that may be begun to correct the abnormal physiology. One of these consequences in ventilated patients …

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Abdominal and Gastroinstestinal

Spontaneous Bacterial Peritonitis (SBP)

Definition: Acute infection of the ascitic fluid in a patient with liver disease without another source of infection Epidemiology: (Runyon 1988, Runyon 1988, Borzio 2001) Incidence 10-25% risk of at least one episode per year 20% risk in those with ascites …

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Abdominal and Gastroinstestinal

REBEL Review 92: Identification & Treatment of Spontaneous Bacterial Peritonitis

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REBEL Reviews

REBEL Core Cast 22.0 – Decompensated Liver Disease

Take Home Points    End stage liver disease patients have fragile baseline physiology. Minor insults can have profound effects Always start with the basics – large bore IV lines SBP give 3rd generation cephalosporin + albumin in severe disease Upper …

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Abdominal and Gastroinstestinal

REBEL Cast Ep 48: Octreotide and Somatostatin for Undifferentiated Upper Gastrointestinal Bleed

Recently I was asked to speak at the Texas College of Emergency Physicians (TCEP) conference April 2018.  The particulars of this session were, five, 10 minute lectures on new indications for old drugs.  My topic was the use of octreotide …

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Abdominal and Gastroinstestinal

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