By: Yonatan Yohannes, MD Abdominal Compartment Syndrome Who: The critically ill. Most commonly in shock, burn patients, polytrauma patients. What: Primary -> abdominopelvic disease/injury: trauma, pancreatitis, surgery, etc. Secondary -> conditions originating elsewhere: sepsis, burns When: Normal IAP (intra-abdominal pressure) 5-7mmHg IAH (intra-abdominal hypertension) IAP ≥ 12mmHg ACS Read more…
Thank you Dr. Vega for this Morning Report Hepatorenal Syndrome Patient usually has history of cirrhosis, hepatitis, or can be acute in setting of ATN or recurrent hospitalizations with nephrotoxic agents. Types of hepatorenal syndrome Type I: Rapid/progressive impairment of renal function with initial serum creatinine level doubled from baseline Read more…
You are working in the critical care area and need to log a trauma resuscitation since this is your last chance to get certified! A 65 year old male is brought by EMS for shortness of breath. He is tachypneic to 30, speaking in short phrases, has a blood pressure Read more…
The Critical Care Mini fellowship crew had an excellent discussion (and dinner) on October 21st led by Dr. Wendy Chan (moi!) and facilitated by Dr. Ashika Jain. We share our review of the literature with you below. Thank you for all who participated. I have included links to the orginal Read more…
Here’s Dr. Freedman with today’s Morning Report! The LGIB Toolbox Why? Tools for diagnosis and therapy are limited. NG Lavage stinks. RBC Scan not an ED test Colonoscopy has not been shown to be useful. Stable, Prepped and not hemorrhaging? No clinical difference btwn emergent and delayed5,6 Read more…
Dr. Mehta presents today’s Morning Report!
Here’s Dr. Wang with today’s Morning Report! Ingested Foreign Body Foreign bodies can be anywhere in the entire GI tract. The esophagus has three areas of narrowing where foreign bodies are most likely to become entrapped upper esophageal sphincter (UES) crossover of the aorta lower esophageal sphincter (LES) certain Read more…
Today’s Morning Report is presented by Dr. Aldokhi! My Butt Hurts (Procidentia) Case: 79 year old female with abdominal pain Definition Full-thickness intussusception of the rectum through the anus Epidemiology Bimodal age distribution (extreme of age) Causes Children <3 increased abdominal pressure (constipation, chronic diarrhea) – Read more…
Thanks to Dr. Kincade for presenting today’s Morning Report! Esophageal Varices Esophageal varices are dilated veins within the wall of the esophagus, usually at the distal end Epidemiology -50% of patients with cirrhosis; 25% to 35% variceal rupture within 2 years of diagnosis. -Greatest risk of rupture in Read more…
Here’s Dr. Aluisio with today’s Morning Report! Medical Therapies for Stable Upper Gastrointestinal Bleeding: Risk, Benefit and Equivocality Epidemiology • Incidence: 40-150 per 100,000 per annum, with 450,000 hospitalizations in the USA • Causes: peptic ulcer (~45%); gastro-duodeno-esophagitis (25%); varicies (~15%) Other (Mallory-Weiss tear, tumor, angiodysplasia, aorto-enteric fistula) Read more…