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SBP

Inpatient Management Guide Definition Ascites Fluid accumulation in the peritoneal cavity Spontaneous Bacterial Peritonitis (SBP) Infection of the ascitic fluid within the peritoneal cavity. Defined as ascitic PMN count of ≥250 cells/µL with positive cultures. If PMN ≥250 cells/µL and no culture data is termed culture negative neutrocytic ascites (CNNA) – given similar mortality, management … Read more

Pancreatitis

Inpatient Management Guide Definition Mild acute pancreatitis: diagnosis of acute pancreatitis w/o presence of organ failure and/or necrotizing pancreatitis. Moderately severe acute pancreatitis: pancreatic necrosis w/ transient organ failure (< 48 hrs). Severe acute pancreatitis: pancreatic necrosis w/ persistent organ failure (>48 hrs) and/or death.[1] Necrotizing Pancreatitis: contrast CT fails to show enhancement in pancreatic … Read more

Necrotizing Pancreatitis

Inpatient Management Guide Definition Mild acute pancreatitis: diagnosis of acute pancreatitis w/o presence of organ failure and/or necrotizing pancreatitis. Moderately severe acute pancreatitis: pancreatic necrosis w/ transient organ failure (< 48 hrs). Severe acute pancreatitis: pancreatic necrosis w/ persistent organ failure (>48 hrs) and/or death.[1] Necrotizing Pancreatitis: contrast CT fails to show enhancement in pancreatic … Read more

Nausea

Inpatient Management Guide Differential Diagnosis Intra-abdominal Functional Disorders Gastroparesis Irritable bowel syndrome Obstructing disorders Pyloric obstruction Small bowel obstruction Colonic obstruction Superior mesenteric artery syndrome Inflammatory disorders Cholecystitis Pancreatitis Appendicitis Hepatitis Viral/bacterial gastroenteritis nephrolithiasis Extra-abdominal Neurologic Vestibular: motion sickness, labyrinthitis, Ménière’s disease Increased intracranial pressure: intracerebral malignancy, hemorrhage, or abscess; hydrocephalus; pseudotumor cerebri Psychiatric Anorexia … Read more

Lower GI Bleed

Inpatient Management Guide Definition Lower GI Bleed DEFINITION Bleeding from GI source distal to Ligament of Treitz (junction of duodenum and jejunum) Can be categorized as: overt – visible; hematochezia (bright red blood) or melena (black, tarry stool) obscure – bleeding source not found on EGD, colonoscopy, enteroscopy, capsule occult – recurrent bleeding not visible … Read more

Inflammatory Bowel Disease

Inpatient Management Guide Definition Inflammatory Bowel Disease (IBD): Term primarily used to describe two separate but overlapping disease entities: Crohn’s disease and ulcerative colitis. Crohn’s Disease (CD): Relapsing and remitting systemic inflammatory disease, predominantly affecting the GI tract characterized by inflammatory cell infiltration, focal crypt irregularity and granulomas within the GI mucosa. The intestinal inflammation … Read more

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