Gastroenterology

Advanced Practice - Neutropenic Enterocolitis

Neutropenic Enterocolitis aka typhlitis, necrotizing enterocolitis, ileocecal syndrome

Definition:

  • intestinal mucosal wall edema and disruption of wall integrity in a neutropenic patient 

Pathogenesis:

  • Weakened immune system --> intestinal overgrowth --> invasion of opportunistic bacteria.
  • May lead to sepsis and bowel perforation.
  • Mortality  22%-50%.

Patient population:

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Advanced Practice: New C-diff guidelines!

This week's post comes courtesy of our ED pharmacist Rachel Rafeq. Surprise! Metronidazole is no longer first line therapy for c-diff infections! Check out this handy table for the updated guidelines from the Infectious Disease Society of America for the latest treatment regimens

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Advanced Practice: N-acetyl cysteine for non-acetaminophen induced acute liver failure!

N-acetyl cysteine has a well established role in the early treatment of acetaminophen poisoning, but does it have any value in the treatment of other causes of acute liver failure? Read on for a quick summary of two studies, summarized by our own Dr. Poonam Kothari...

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#EMConf: Inflammatory Bowel Disease in the ED!

Last week the Cooper EM residents received a primer on the approach to the patient with IBD in the ED from our own GI fellow Krysta Contino. This week will focus on the basic approach, and next week we will take a deeper dive into specific complications that every ED doc needs to know about!

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Advanced practice: Bariatric surgery complications

roux en y

Obesity is a problem in the United States. More and more patients are receiving bariatric surgery, resulting in a predictably higher volume of patients seeking care in the ED for complications of surgery. Read on to learn more about some of the potentially devastating complications of the most common bariatric procedure: the roux-en-y bypass.

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