Gastroenterology Archives - Page 5 of 5 - The Emergency Medical Minute

Gastroenterology

Podcast #30: Pancreatitis

Run Time: 5 minutes Author: Dr. Samuel Killian Educational Pearls: Acute pancreatitis care can be very different from someone with chronic pancreatitis – mortality rate is high at 6-10% for acute pancreatitis. 90% of pancreatitis cases are from alcohol and biliary disease. The remainder of cases are from medication, auto-immune, trauma, hyperlipidemia, and idiopathic causes. True…

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Podcast #27: Variceal Upper GI bleed

Run Time: 9 minutes Author: Dr. Donald Stader Educational Pearls: Patients with variceal bleeding are sick at baseline, and come from a very sick patient population with a higher mortality rate. Varices occur in a patient with cirrhosis when blood goes through other pathways to get back to the heart – rather than going through…

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Podcast #5: The Physiology of Emesis

Run Time: 3 minutes Author: Dr. Jared Scott Educational Pearls: The area postrema controls vomiting – not protected by blood-brain barrier – gets input from several types of receptors, the vagus nerve, serotonin input from gastric mucosa, and cranial nerve #8. Physiologic steps: Increased salivation, Involuntary deep breath to avoid aspiration, retro-peristalsis of the upper…

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Podcast #4: Isopropyl Alcohol for Nausea

Run Time: 5 minutes Author: Dr. Donald Stader Educational Pearls: Can be inhaled for relief from nausea – works for approximately 50% of people within 10 minutes. Administered by cupping the swab in the hands and inhaling through the nose and exhaling out of the mouth. Works through a process known as olfactory distraction, but it…

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Podcast #1: Diverticulitis & Antibiotics

Run Time: 3 minutes Author: Dr. Christopher Holmes Educational Pearls: 2 Billion Dollars is spent on Diverticulitis a year Typically has been treated with antibiotics Large studies in Sweden / Netherlands – treated patients in the hospital with either Antibiotics or normal saline. They had the same resolution rate! Suggests antibiotics are of little utility. Old…

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