11.15.2010

medicine day one odds and ends

volvulus - section of bowel twists on itself creating and obstruction and proximal dilation
ogilvie's syndrome - an acute pseudo obstruction of colon in absence of any mechanical cause normally 2/2 neuro, post-op, parkinson's
infxs megacolon picture is more tenderness/sick/fever

Sinemet can give decrease peristalsis
Amitiza (lubiprostone) ^NaCl secretion in lumen of GI used for constipation/hard stool
Miralax = polyethylene glycol, an osmotic agent for constipation/hard stool
Colace - coats stool to help movement
Pericolace - docusate +senna
decubitus ulcer tx - wound vac/pack it w/gauze, keep off it!

calling a consult?
1. identify yourself
2. patient name and mrn
3. one-liner, relevant labs/imaging
4. whats the question??


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