This week we’re covering endoscopy for Upper GI Bleed. Specifically, the optimal timing of endoscopy by our colleagues in GI
A Review of: Lau JYW et al. Timing of Endoscopy for Acute Upper Gastrointestinal Bleeding. NEJM 2020. PMID: 32242355
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Clinical Conundrum: can albuterol as delivered by metered dose inhalers (MDI) replaced nebulized therapy for the treatment of hyperkalemia?
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Case vignette: A 24yo M with no past medical history presents with a "boil" on his lower back that he noticed a couple days ago. The boil has been slowly increasing in size and becoming more tender. He denies fever, chills, nausea, vomiting, or history of previous abscesses. On exam there is a 3cm cutaneous abscess with confirmed fluid pocket on ultrasound, and there is minimal surrounding erythema or induration. You decide to incise and drain (I&D) the abscess, including probing to break up loculations and manual decompression, but you are not sure whether you need to irrigate the cavity.
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