Help!
What access should at patients with GI bleed have?
2 large Bore IVs
Name 2 lab studies which are indicative of synthetic function.
INR, albumin
Young astute medical student presents with 4 day history of right lateral hip pain. Local tenderness to deep point palpation right hip. Dx? Tx
greater trochanteric pain syndrome
supportive therapy with NSAIDS and exercise/PT
HD instability + melena, what kind of bleed are we most worried about?
UGIB
What is tx for HRS
1) albumin challenge
2) triple therapy (albumin, octreotide, midodrine)
OMG! Pt has a GI bleed. Hallmark of treatment?
Resuscitation with IVF + blood products
Patient presents with transaminases with AST and ALT >1000 what are 3 possible causes
1) Shock liver
2) Acute hepatitis
3) DILI
how do we empirally treat UGIB
PPI gtt
goal HR in pt with EV
50-60
Common causes of UGIB and LGIB
UGIB - PUD, gastritis, AVM, esophageal varices
LGIB - diverticulosis, malignancy, AVM
How often should cirrhotic patients be screened for HCC? and how
imaging U/S or Ct + AFP