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<< Jaundice in the Emergency Department: Meeting the Challenges of Diagnosis and Treatment

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Episode 15

Jaundice in the Emergency Department: Meeting the Challenges of Diagnosis and Treatment

Date: 4/1/2018 | Length: 31:35

Show Notes

Disclaimer: This is the unedited transcript of the podcast. Please excuse any typos.

Jeff: Welcome back to EMplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back once again with my co-host, Nachi Gupta. We’ll be taking you through the April 2018 issue of Emergency Medicine Practice: Jaundice in the Emergency Department: Meeting the Challenges of Diagnosis and Treatment.

Nachi: This is a huge change of pace from our last two episodes – on inhalational injuries and thermal burns - but definitely an important topic, especially at our liver referral center.

Jeff: Yea, definitely important at a liver center, but let’s not act like jaundice is specific to the large academic centers, as there are approximately 52,000 ED visits a year for patients with jaundice.


Most Important References

5. * Lalani T, Couto CA, Rosen MP, et al. ACR appropriateness criteria jaundice. J Am Coll Radiol. 2013;10(6):402-409. (Consensus statement)

29. * Pasanen PA, Partanen KP, Pikkarainen PH, et al. A comparison of ultrasound, computed tomography and endoscopic retrograde cholangiopancreatography in the differential diagnosis of benign and malignant jaundice and cholestasis. Eur J Surg. 1993;159(1):23-29. (Prospective; 220 patients)

35. * Kiewiet JJ, Leeuwenburgh MM, Bipat S, et al. A systematic review and meta-analysis of diagnostic performance of imaging in acute cholecystitis. Radiology. 2012;264(3):708-720. (Review)

51. * Williams EJ, Green J, Beckingham I, et al. Guidelines on the management of common bile duct stones (CBDS). Gut. 2008;57(7):1004-1021. (Consensus guideline)

79. * Smilkstein MJ, Knapp GL, Kulig KW, et al. Efficacy of oral N-acetylcysteine in the treatment of acetaminophen overdose. Analysis of the national multicenter study (1976 to 1985). N Engl J Med. 1988;319(24):1557-1562. (Retrospective; 2540 patients)

80. * Wolf SJ, Heard K, Sloan EP, et al. Clinical policy: critical issues in the management of patients presenting to the emergency department with acetaminophen overdose. Ann Emerg Med. 2007;50(3):292-313. (Practice guideline)

89. * Knox TA, Olans LB. Liver disease in pregnancy. N Engl J Med. 1996;335(8):569-576. (Review)

101. * Lee WM. Acute liver failure. N Engl J Med. 1993;329(25):1862-1872. (Review)


Meet the Hosts

Nachi Gupta MD, PhD

Jeff Nusbaum, MD

Drs. Gupta and Nusbaum are practicing emergency physicians. Join Jeff, a former firefighter, and Nachi, a former mathematician, as they take you through the April 2018 issue of Emergency Medicine Practice: Jaundice in the Emergency Department: Meeting the Challenges of Diagnosis and Treatment.


About The Podcast

Get quick-hit summaries of hot topics in emergency medicine. EMplify summarizes evidence-based reviews in a monthly podcast. Highlights of the latest research published in EB Medicine's peer-reviewed journals educate and arm you for life in the ED.

 

 

Publication Information
Authors

Todd Taylor, MD; Matthew Wheatley, MD, FACEP

Peer Reviewers

Arlene S. Chung, MD, MACM; Corinne Horan, DO

Publication Date

April 1, 2018

CME Expiration Date

April 30, 2021

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CME Information

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Treatment Of Pediatric Patients With Jaundice In The ED - Pediatric Emergency Medicine Practice - December 2010

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