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Bilious Vomiting in the Neonate - CRASH! Medical Review Series

(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnos...  
youtube.com
over 4 years ago
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154

Vomiting Pediatrics

 
lodozo.com
over 4 years ago
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Effect of applying cricoid pressure during rapid sequence induction of general anaesthesia | Cochrane

Rapid sequence induction (RSI) is a technique used by critical care clinicians, mainly anaesthetists, intensive care physicians and emergency physicians, when setting out to secure a clear airway for a general anaesthetic and the patient is thought to be at risk of vomiting their stomach contents into their airway and down into their lungs. Stomach contents in the lungs can cause infection of the lung and, in severe cases, death. Cricoid pressure is a technique where pressure is placed on an area of bone-like tissue in the neck to flatten the oesophagus (tube that connects the mouth to the stomach). This is intended to prevent vomiting up of the stomach contents. The application of cricoid pressure for this purpose is very common. It is, however, a controversial practice as some clinicians and researchers believe it to be ineffective. It may also interfere with the clinician's view of the patient's airway.  
cochrane.org
over 4 years ago
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Lab Case 80

A 51 year old man is brought to your ED by his family. He has been slightly confused and also had diarrhoea and vomiting for the last three days.  
emergucate.com
over 4 years ago
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Cannabis-based medicine for nausea and vomiting in people treated with chemotherapy for cancer | Cochrane

Background As many as three-quarters of people who receive chemotherapy experience nausea (feeling sick) and vomiting (being sick), which many find distressing. While conventional anti-sickness medicines are effective, they do not work for everyone, all of the time. Therapeutic drugs based on the active ingredient of cannabis, known as THC (delta-9-tetrahydrocannabinol), have been approved for use as anti-sickness medicines in some countries.  
cochrane.org
over 4 years ago
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Quiz: The Latest on Treating Nausea/Vomiting of Pregnancy

How much do you know about the latest guidelines on treating pregnancy nausea? Test your knowledge with this quiz.  
medscape.com
over 4 years ago
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Wrist PC6 acupuncture point stimulation to prevent nausea and vomiting after surgery | Cochrane

Does a review of the evidence support the use of wrist PC6 acupuncture point stimulation (PC6 acupoint) as effective in reducing nausea and vomiting after surgery (PONV), compared to sham (dummy acupoint stimulation) or antiemetics (drugs that relieve nausea and vomiting) in people undergoing surgery? This review updates the evidence published in 2009, and is current to December 2014.  
cochrane.org
over 4 years ago
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Levomepromazine for the treatment of nausea and vomiting in people with advanced disease | Cochrane

This is an update of the review published in 2013. Nausea (feeling sick) and vomiting (being sick) are common and unpleasant symptoms that are often experienced by people with advanced disease. There are several different drug therapies which are available to treat these symptoms, known as antiemetics. Levomepromazine was originally used to treat schizophrenia but is also used to control nausea and vomiting. It can be given as a tablet or as an injection.  
cochrane.org
over 4 years ago
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Haloperidol for the treatment of nausea and vomiting in palliative care patients | Cochrane

Haloperidol is often used to help control nausea (feeling sick) or vomiting (being sick), both of which are common problems for patients with serious life-threatening illnesses. Haloperidol can be given by mouth or by injection. There has been some research looking at how this drug works in nausea and vomiting caused by surgery and when trying to prevent nausea and vomiting caused by anti-cancer treatments.  
cochrane.org
over 4 years ago
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Lab case 78

A 64 year old female with MELAS presents with a 3 day history of vomiting and diarrhoea. She had been on an overseas holiday recently.  
emergucate.com
over 4 years ago
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Diarrhoea and vomiting caused by gastroenteritis in under 5s: diagnosis and management | Guidance and guidelines | NICE

This guideline applies to children younger than 5 years who present to a healthcare professional for advice in any setting. It covers diagnosis, assessment of dehydration, fluid management, nutritional management and the role of antibiotics and other therapies. It provides recommendations on the advice to be given to parents and carers, and also considers when care should be escalated - from home management through to hospital admission.  
nice.org.uk
over 4 years ago
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Critical limb ischaemia in peripheral vascular disease: intravenous iloprost | key-points-from-the-evidence | Advice | NICE

A Cochrane review of low quality studies of prostanoids in people with critical limb ischaemia unsuitable for surgery found that compared with placebo, intravenous iloprost statistically significantly reduced major amputations, improved rest-pain relief, and improved ulcer healing. The benefit of intravenous iloprost on total amputations (major plus minor) was not statistically significant. In a randomised controlled trial (RCT) in people undergoing femorodistal bypass surgery for critical limb ischaemia, perioperative intravenous and intra-graft iloprost did not improve graft patency or clinical status, or reduce amputations at 1‑year follow-up compared with placebo. Adverse events were more common with intravenous iloprost than with placebo and included pain at the infusion site, headache, flushing, nausea and vomiting, and hypotension.  
nice.org.uk
over 4 years ago
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Emesis is the Nemesis!

Wisdom of @FLTDOC1 "Because Emesis is the Nemesis" We shovel barf so that others may live. UWDifficultAirwayWorkshop pic.twitter.com/5G1FC2Azag— James DuCanto (@jducanto) October 15, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
over 4 years ago
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Listeria warning over caramel apples - BBC News

Caramel-coated apples can be riddled with listeria - a bacterium that causes diarrhoea and vomiting and, rarely, meningitis - warn scientists.  
bbc.co.uk
over 4 years ago
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Treatment of epilepsy in people with neurocysticercosis | Cochrane

Neurocysticercosis is a common infection of the brain caused by the larvae of the pork tapeworm, migrating to the brain. Seizure is the most common symptom, while some people may present with headache, vomiting or brain swelling. This review investigates the usefulness of antiepileptic drugs (AEDs) in preventing seizures in people who did not have seizures but presented with headache or brain oedema. We also examined the usefulness of the AEDS in people with neurocysticercosis with epilepsy in terms of choice of drug, dosage, duration of treatment, cost, side effects and the quality of life.  
cochrane.org
over 4 years ago
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Lab case 74

A 14 year old female is brought in to your ED on a priority one by ambulance. She has had a one week history of vomiting and diarrhoea.  
emergucate.com
over 4 years ago
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Overwhelming regurgitation/hematemesis – Diverting Esophageal Tube

[Skeleton of this blog post in tweet haiku for now] Source: Overwhelming regurgitation/hematemesis – Diverting Esophageal Tube  
prehospitalmed.com
over 4 years ago
Static.www.bmj
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Characteristic sign of a colonic submucosal lesion

A 58 year old woman presented with lower abdominal pain, constipation for three months, and intermittent small bleeds per rectum. She had no abdominal distension, vomiting, weight loss, or family history of colonic cancer. She had hypertension and type 2 diabetes and was taking regular drugs. Blood test results were unremarkable. Ultrasound imaging of her abdomen was normal. …  
feeds.bmj.com
almost 5 years ago
Static.www.bmj
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Characteristic sign of a colonic submucosal lesion

A 58 year old woman presented with lower abdominal pain, constipation for three months, and intermittent small bleeds per rectum. She had no abdominal distension, vomiting, weight loss, or family history of colonic cancer. She had hypertension and type 2 diabetes and was taking regular drugs. Blood test results were unremarkable. Ultrasound imaging of her abdomen was normal. …  
feeds.bmj.com
almost 5 years ago
Static.www.bmj
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Characteristic sign of a colonic submucosal lesion

A 58 year old woman presented with lower abdominal pain, constipation for three months, and intermittent small bleeds per rectum. She had no abdominal distension, vomiting, weight loss, or family history of colonic cancer. She had hypertension and type 2 diabetes and was taking regular drugs. Blood test results were unremarkable. Ultrasound imaging of her abdomen was normal. …  
feeds.bmj.com
almost 5 years ago