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Gastroenterology
General Hospital Medicine
Questions discussed in this category
What is your stepwise approach to treating constipation in a patient with symptoms such as abdominal pain, nausea, decreased appetite, etc?
What do you start initially, and how do you go about escalating the regimen if constipation persists?
2 Answers available
How do you decide between anticoagulation and observation for an incidentally detected subsegmental pulmonary embolism in elderly patients with a history of gastrointestinal bleeding?
6 Answers available
How do you determine whether to limit volume removal during therapeutic paracentesis in a patient without acute or chronic kidney disease?
3 Answers available
How do you decide whether to place an NGT or PEG tube in patients with dysphagia precluding adequate PO nutritional intake?
Do you commonly use prognostic tools such as PRESS to aid in your decision?
1 Answer available
When can we consider deferring an insulin drip in patients with hypertriglyceridemia-induced pancreatitis?
If the patient does not have underlying diabetes, do the benefits of an insulin drip for this indication outweigh the risks?
2 Answers available
How do you decide which patients with upper GI bleeds should be monitored on telemetry?
1 Answer available
How do you rule out spontaneous bacterial peritonitis in a patient with minimal ascites that is not amenable to paracentesis?
1 Answer available
What is your approach to duration of fidaxomicin in a patient receiving treatment for first C difficile infection while also receiving concurrent antibiotics for an infection?
Do you extend the course of fidaxomicin past initial 10 days to at least 3-7 days after completion of antibiotics?
1 Answer available
What adjunctive therapies beyond an antisecretory agent (e.g., PPI, H2RA, etc.) do you find most helpful in managing the acute symptoms of PUD?
For example, do you routinely supplement with calcium carbonate, magnesium hydroxide, aluminum hydroxide, simethicone, sucralfate, etc.?
1 Answer available
What is your approach to secondary prophylaxis for C difficile infection during concomitant antibiotic use in a patient with a history of C difficile infection?
1 Answer available
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Papers discussed in this category
Microbes and infection, 2024 May 06
Secondary prophylaxis for Clostridioides difficile infection for patients on non-C. difficile antibiotics: a retrospective cohort study.
International journal of pancreatology : official journal of the International Association of Pancreatology, 1991 Nov-Dec
Hyperlipidemia in acute pancreatitis. Relationship with etiology, onset, and severity of the disease.
The American journal of medicine, 1991 Aug 08
Treatment of peptic ulcer disease with sucralfate: a review.
Gut, 1990 Jul
Sucralfate in the treatment and prevention of gastric ulcer: multicentre double blind placebo controlled study.
Annals of internal medicine, 2021 Nov 23
Risk for Recurrent Venous Thromboembolism in Patients With Subsegmental Pulmonary Embolism Managed Without Anticoagulation : A Multicenter Prospective Cohort Study.
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