Alcoholic Hepatitis

2nd INPATIENT, Clinic A/P, adults, Clinic A/P, Peds, GASTROENTEROLOGY, Hospital A/P, Adults, Hospital A/P, Peds

Treatment -Prevent and treat alcohol withdrawal. -Alcohol abstinence -Supportive Care: –Fluid management and Nutritional support –Monitor for infection –Prophylaxis against gastric mucosal bleeding –D/c nonselective beta-blockers in patients...

Epidemiology and Pathophysiology of Constipation

GASTROENTEROLOGY

Epidemiology of Constipation Constipation is common. The prevalence increases with age and differs among settings. Community dwellers  ≥ 65 years: the prevalence is 26% for women and 16% for men. Community dwellers  ≥ 84 years: The prevalence is 34% for women and 26%...

How to Measure Small bowel and Colonic Transit Times

GASTROENTEROLOGY

I spoke with the radiologist on call at DRMC and he told me this hospital uses Sitz markers to test colonic transit times. A patient takes one tablet (Sitz marker) and over a 3 day period comes back for KUBs to be taken. Based on the location of the markers, they...

Complications of Constipation

GASTROENTEROLOGY

Fecal impaction (associated w/ crampy lower abdominal and lower back pain) Stercoral colitis or proctitis due to fecal impaction.This can lead to fatal peritonitis. Peritonitis Stercoral ulceration due to fecal impaction. Toxic megacolon (idiopathic megacolon) can...

Alarm Signs and Symptoms of Constipation

GASTROENTEROLOGY

Ask the patient questions to r/o the following alarm features. Note that most of them are to r/o 1) Small/Large Bowel obstruction or 2) Cancer/Tumor Fever, Unintentional weight loss, ≥10 pounds Hematochezia (Blood in or on stool) Positive Fecal Occult Blood Test...

Carcinoid Syndrome

Clinic A/P, adults, Clinic A/P, Peds, GASTROENTEROLOGY, Hospital A/P, Adults, Hospital A/P, Peds

    http://clinchem.aaccjnls.org/content/49/4/586