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Multiprofessional Critical Care Review: Adult 2024 ...
Board Review Questions: GI, Liver, and Pancreas
Board Review Questions: GI, Liver, and Pancreas
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Video Transcription
Video Summary
The session discusses various medical scenarios focused on gastrointestinal and liver conditions, addressing specific patient case questions. Key points include:<br /><br />1. An 82-year-old woman in ICU with atrial fibrillation, abdominal pain, and CT showing pneumatosis and bowel ischemia needs immediate surgical consultation.<br />2. A 54-year-old with jaundice, fever, and elevated liver enzymes, diagnosed with acute alcoholic hepatitis.<br />3. A 23-year-old post-trauma patient with hemoperitoneum and hypotension requires exploratory laparotomy over other interventions.<br />4. A 49-year-old man with epigastric pain and free air on CT scan needs surgery for suspected GI perforation.<br />5. Discussion on lower GI bleed management, suggesting angiogram or CTA for active bleed, and anoscopic examination for suspected hemorrhoidal bleeding.<br />6. Pancreatitis case emphasizing fluid resuscitation over unnecessary initial CT scans, broad-spectrum antibiotics, or dialysis without severe renal failure symptoms. <br /><br />Emphasis is placed on appropriate interventions based on clinical presentation and diagnostic findings.
Keywords
gastrointestinal conditions
liver conditions
surgical consultation
acute alcoholic hepatitis
GI perforation
lower GI bleed management
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