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Endocarditis Prophylaxis Colonoscopy
AHA Guidelines: The aha (american heart association) has the latest guidelines for antibiotic prophylaxis to help prevent subacute bacterial endocarditis. The indications for premedication underwent revision and changed several years ago, and most dentists and surgeons follow the aha guidelines. ...Read moreSee 1 more doctor answer
Some do...: Some people do. Patients with artificial heart valves, previous history of infective endocarditis, joint replacements in the last 5 years do require it (there are other conditions, these are the most common). Patients with mitral valve prolapse, heart murmurs, stents, and pacemakers do not need prophylaxis. If there is a specific condition you are asking about, let me know. ...Read moreSee 5 more doctor answers
Endocarditis: The combination of ampicillen and gentamycin can be an effective treatment for enterococcal endocarditis. ...Read more
Possibly: There are a few published case studies that support the use of ivig for treatment of uc. http://www.ncbi.nlm.nih.gov/pubmed/3490055 http://www.Ncbi.Nlm.Nih.Gov/pubmed/1728132. ...Read more
No one?: If you dont have any exposure, you dont need routine testing / prophylaxis. If you feel that you may have exposure via unprotected intercouse with an infected partner, or sharing needles with someone who may be infected, then you may need to speak to a physician for testing and prophylactic treatment. ...Read moreSee 1 more doctor answer
Was admitted to a hospital with urosepsis treated with multiple antibiotics developed bloody diarrhea.Negative for CDiff colonoscopy shows skip.....?
Confirm IBD with biopsy: Sounds like a new diagnosis of IBD after treatment of sepsis with antibiotics. Colonoscopy findings are consistent with IBD, but no biopsy results reported in the case summary. Consider HSV, CMV, vasculitis causing colonic ischemia that appears like Chron's skip lesions as alternatives. ...Read moreSee 9 more doctor answers
82y/o w/ community acquired pneumonia&coronary artery disease given 1l normal salinesolution in just 2 hours, is fluid overload a possible complication?
Few bouts of bloody diarrhea (new). Stool culture & EGD neg. Colonoscopy biopsy (nonspecific colitis). IBD lab pos. for Crohn's. Cause ideas?
Colectomy for cancer postponed due to likely severe cad, cath tomorrow. Is it risky for cath/stent/bypass with blood thinners for colon hemorrhage?
Risks increased: Those are both serious medical problems. Most patients with cardiac disease can undergo noncardiac surgery safely provided their cardiac issues are stable and their functional status is good (able to achieve >4 mets without symptoms--the equivalent of carrying 2 bags of grocery briskly and climbing stairs). If having cv symptoms, should expedite a cardiac workup w tests/possible cath first. ...Read more
Colonscopy 2013 bright red rectal bleeding, diagnosis hemorrhoid . Appearing again & GI schedule colonscopy w/ anesthesia. suggesting incomplete last time?
Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.
Death from sepsis perforations bowel infected cavity anastomosis site, yet autopsy said bowel unremarkable,how ?
There wud be evidence of sepsis, yes?
Autopsy report: If the patient had a perforated bowel, I would be extremely surprised if the pathology report from the autopsy said 'normal'. To me that doesn't make any sense. Definitely if someone had a perforated bowel, there's a high chance they met the criteria for sepsis. Probably severe sepsis or even septic shock. There are strict definitions for that. Any Infectious Disease doctor should be able to help. ...Read more
Gi suggested colonoscopy to check colon condition before switching from remicade (infliximab) to humira. Treated for uc. Had colonoscopy 2 yrs ago. Is this needed?
Had colonoscopy, impressions were nodular mucosa in rectum. Ileum/colon normal. Given Flagyl. Biopsy results pending. Could this be cancer? I'm 36/F.
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