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What is the classic story of aortoenteric fistula?,”AAA repair 1 year ago
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Read moreWhat is the best investigation for suspected intussusception?,”Air or barium enema – diagnose and treat. (CI if perforated, complete obstruction
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Read moreWhat is the triad of intussuception?
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Read moreWhat are the 4 most common painful cases of adult LGIB?
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Read moreHow do we approach investigating a patient with ACTIVE LGIB?,”First, r/o hemorrhoids and UGIBBleeding > 2 mL/min (1 unit RBC/4hrs)1. Angiography (very specific, can treat with pressors and gel foams on the spotBleeding < 0.5mL/min1. Wait for bleeding to stop, then colonoscopy (very specific)Bleeding in between1. Tagged RBC scan (sensitive, 0.1 mL/min, but must be actively bleeding)
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Read more“When a patient comes in with LGIB, what needs to be ruled out first and how is this done?”,”After resuscitation, r/o UGIB. 1) NG tube (blood = UGIB, clear with no bile = move to EGD
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Read moreCompare the stories and etiologies of gastric vs duodenal ulcers.,”Gastric – pain worse with eating. Associated with H pylori, steroids
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Read moreWhat are 2 types of UGIB that are high risk of rebleeding? What percentage of overall UGIB will self-limit vs rebleed?
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Read moreWhat are the steps of UGIB management? List specific treatments for variceal bleeding.,”1) ABCs (resuscitation)2) NG tube, to determine if bleeding is still occuring3) PPI (Pantoloc 80 mg IV)4) Correct coagulopathies5) Endoscopy (cautery, banding, tamponade
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