Curbside Consults Podcast
Published June 13, 2019
Acute gastrointestinal bleeding is a broad topic with a range of manifestations, from scant hematochezia to the exsanguinating variceal hemorrhages. In this part 2 of 2 interviews (part 1), Dr. Navin Kumar discusses the management of variceal and lower GI bleeding and the evidence behind some of the major interventions, such as octreotide, antibiotics prophylaxis, and transjugular intrahepatic portosystemic shunts.
01:21 variceal bleeding section, sample patient case
05:44 APRI score
10:22 use of blood products
15:25 infection prophylaxis
21:09 banding and TIPS
29:13 care after endoscopic banding
31:00 prophylaxis with beta-blockers
35:22 lower GI bleeding section, overview of assessment
38:48 diagnostic tests for lower GI bleeding
48:13 summary and concluding remarks
The Curbside Consults series complements the foundational information in NEJM R360 Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.