We encounter patients with upper GI bleeding frequently. While some of these are obviously ill and in need of urgent intervention and/or admission, others appear well and we might consider sending them home - but how do we decide who is low risk enough to discharge? Is there an evidence based approach to risk stratify patients with upper GI bleeds?
Von Willebrand Disease is the most common of the inherited bleeding disorders. Do you remember that there is more than one "type" of Von Willebrand Disease? Remember which type you should NOT use DDVAVP on? Read on for a quick overview.
An elderly female patient presents with abdominal pain and distention with no bowel movement in 1 week. Labwork shows a Cr of 8 from baseline of 1 with a normal lactate. Click for further information about her diagnosis.
In 2010, there were approximately 535,000 ED visits for foreign bodies. Approximately 80-90% of ingested foreign bodies pass through the GI tract without complications while the rest require intervention. What are some basics that you need to know about foreign bodies that ingested, aspirated and inserted?
Neutropenic Enterocolitis aka typhlitis, necrotizing enterocolitis, ileocecal syndrome
- intestinal mucosal wall edema and disruption of wall integrity in a neutropenic patient
- Weakened immune system --> intestinal overgrowth --> invasion of opportunistic bacteria.
- May lead to sepsis and bowel perforation.
- Mortality 22%-50%.