Pre-operative Medicine Clinic
Pre-operative Medicine Clinic provides general medicine services for patients seeking elective surgery. Providers evaluate peri-operative risk and manage chronic medical problems for these patients.
Women’s Health Clinic
Women's Health Clinic is held in Clinic A on Thursday afternoons, and focuses on Women's Health issues, including cervical cancer screening and bone health.
BRIDGE TRIAL
EBM, Journal Club
Thank you Thomas Vu for your excellent overview of the BRIDGE trial (Perioperative Bridging Anticoagulation in Patients with Atrial Fibrillation) Conclusions of the study: In patients with atrial fibrillation who had warfarin treatment interrupted for an elective operation or other elective invasive…
STOPAH TRIAL
EBM, Journal Club
Thank you Quynh Vu for your excellent overview of the STOPAH trial (Prednisolone or Pentoxifylline for Alcoholic Hepatitis) Conclusions of the study: Pentoxifylline did not improve survival in patients with alcoholic hepatitis Prednisolone was associated with a reduction in 28-day…
Acute Esophageal Variceal Bleed
Morning Report
Thank you Dr. Kirollos Zaki for an excellent presentation on UGIB from esophageal varices
Teaching Points
- Management of GI bleed
- fluids, goal hg>7, plt >50, INR<1.5.
- protonix drip if UGIB, add octreotide drip if concern for variceal bleed
- Endoscopy
- variceal ligation: using banding, goal is within 12 hours
- sclerotherapy: usueally epi is used, similar results as ligation but high rebleeding risk
- TIPS
- Indications: active hemorrhage despite endoscopic treatment or recurrent bleed
Protected: Block 10 – Subspecialty Topics in Primary Care
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