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==Management==
====Classification Gastritis==
{| class="wikitable"
!colspan="2" | Gastritis
!Etiology
!Gasstritis synonyms
|-
|colspan="2" | Non-atrophic
|
*Helicobacter pylori
*Other factors
|
Superficial
Diffuse antral gastritis (DAG)
Chronic antral gastritis (CAG)
Interstitial - follicular
Hypersecretory
Type B*
|-
|rowspan="4" |Atrophic
|Autoimmune
|
*Autoimmunity
|
Type A*
Diffuse corporal
Pernicious anemia-associated
|-
|rowspan="3"|Multifocal atrophic
|Helicobacter pylori
|Type B*, type AB*
|-
|Dietary
|Environmental
|-
|Environmental factors
|Metaplastic
|-
|rowspan="7"| Special form
|rowspan="4"| Chemical
|Chemical irritation
|Reactive
|-
|
*Bile
|
*Reflux
|-
|
*NSAIDs
|
*NSAID
|-
|
*Other agents
|
*Type C*
|-
|Radiation
|Radiation injury
|
|}


{{familytree/start |summary=Acute Pancreatitis}}
==Risk assessment table==
{{familytree | | | | | | | | | | | | | A01 |-|-|-|-|-|-|-|-|-|-|-|-|.| |A01='''Signs & symptoms''': severe abdominal pain, breathing difficulty, hypotension, vomiting, fever, [[cullen's sign]], [[grey turner sign]]}}
{|
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | |!| |}}
! colspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" + |Scoring criteria for risk assessment*
{{familytree | | | | | | | | | | | | | E01 | | | | | | | | | | | | |!| | |E01=Hemodynamic stability? }}
|-
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | |!| |}}
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Scoring system
{{familytree |border=0 | | | | | | | | | | | | | Z01 | | | | | | | | | | | | Z02 | | | | |Z01 = Stable|Z02= Unstable }}
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Score
{{familytree | | | | | | |,|-|-|-|-|-|-|^|-|-|-|-|-|-|.| | | | | | |!| |}}
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Risk
{{familytree | | | | | | B01 | | | | | | | | | | | | B02 | | | | | B03 |B01=Trans abdominal USG |B02='''Labs''': BUN, CBC, CXR, HCT, serum amylase, serum lipase, serum triglycerides, sr. creatinine |B03=Need to create hyperlink here }}
|-
{{familytree | | | | | | |`|-|-|-|-|-|-|v|-|-|-|-|-|-|'| | | | | | | | |}}
| rowspan="14" style="background:#DCDCDC;" align="center" + |'''IMPROVEDD Score'''<ref>{{cite journal|doi=10.1055/s-0037-160392910.1055/s-0037-1603929}}</ref>
{{familytree | | | | | | | | | | | | | C01 | | | | | | | | | | | | | | |C01='''Diagnostic criteria''': Any 2 out of 3<br><br> Abdominal pain consistent with disease<br><br>serum amylase or lipase values > 3 times normal<br><br>consistent findings from abdominal imaging}}
| style="background:#DCDCDC;" align="center" + |
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
| style="background:#DCDCDC;" align="center" + |Predicted % VTE risk through 42 days
{{familytree | | | | | | | | | | | | | D01 | | | | | | | | | | | | | | |D01=Acute Pancreatitis}}
|-
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
| style="background:#F5F5F5;" align="center" + |0
{{familytree | | | | | | | | | | | | | F01 |-|-|-|-|-| F02 |-|.| | | | |F01=SIRS? |F02=Yes|"border=0" }}
| style="background:#F5F5F5;" + |0.4%
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | |!| | | | |}}
|-
{{familytree |border=0 | | | | | | | | | | | | | AA1 | | | | | | | | | |!| | | | |AA1=No}}
| style="background:#F5F5F5;" align="center" + |1
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | |!| | | | |}}
| style="background:#F5F5F5;" + |0.6%
{{familytree | | | | | | | | | | | | | G01 | | | | | | | | | |!| | | | |G01=Risk stratification (Marshall scoring)}}
|-
{{familytree | | | | | | |,|-|-|-|-|-|-|^|-|-|-|-|-|-|.| | | |!| | | | |}}
| style="background:#F5F5F5;" align="center" + |2
{{familytree | | | | | | H01 | | | | | | | | | | | | H02 | | |!| | | | |H01=Lower risk |H02=Higher risk}}
| style="background:#F5F5F5;" + |0.8%
{{familytree | | | | | | |!| | | | | | | | | | | | | |!| | | |!| | | | |}}
|-
{{familytree | | | | | | I01 | | | | | | | | | | | | I02 |-|-|'| | | | |I01= Admit to medical ward |I02=Admit to ICU}}
| style="background:#F5F5F5;" align="center" + |3
{{familytree | | | | | | |!| | | | | | | | | | | | | |!| | | | | | | | |}}
| style="background:#F5F5F5;" + |1.2%
{{familytree | | | | | | J01 | | | | | | | | | | | | J02 | | | | | | | |J01= Fluids: Aggressive hydration at 250-500 ml/hr with Ringer's lactate in first 12-24 hrs <br> Reassess within 6 hrs after admission and for next 24-48 hrs <br><br> Analgesics: Opioids are preferred, Mepridine & Morphine may be used as IV drips/pt. controlled analgesia <br><br> Nutrition: Immediate oral feeding as soon as pain, vomiting, nausea subside |J02=Fluids: Initiate with a fluid bolus<br> Aggressive hydration at 250-500 ml/hr with Ringer's lactate in first 12-24 hrs <br> Reassess within 6 hrs after admission and for next 24-48 hrs <br><br>Analgesics: Opioids are preferred, Mepridine & Morphine may be used as IV drips/pt. controlled analgesia <br><br> Nutrition: Nasogastric or nasojejunal feeding may be initiated once pain, vomiting, nausea subside <br> Consider enteral feeding if above not tolerated}}
|-
{{familytree | | | | | | |`|-|-|-|-|-|-|v|-|-|-|-|-|-|'| | | | | | | | |}}
| style="background:#F5F5F5;" align="center" + |4
{{familytree | | | | | | | | | | | | | K01 |-|-|-|-|-| K02 |-|-|-|-| K03 |K01=Cholangitis or biliary obstruction |K02=Yes |K03=ERCP within 24 hrs/Cholecystectomy to prevent recurrence }}
| style="background:#F5F5F5;" + |1.6%
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
|-
{{familytree |border=0 | | | | | | | | | | | | | AK1 | | | | | | | | |AK1=No | | | | | |}}
| style="background:#F5F5F5;" align="center" + |5-10
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
| style="background:#F5F5F5;" + |2.2%
{{familytree | | | | | | | | | | | | | L01 | | | | | | | | | | | | | | |L01=Consider MRCP/EUS}}
|-
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
| style="background:#DCDCDC;" align="center" + |
{{familytree | | | | | | | | | | | | | M01 |-|-|-|-|-| M02 |-|-|-|-| M03 |M01=Clinical improvement within 48-72 hrs |M02=Yes |M03=Assess for ability to maintain oral feeding at the end of 1 week}}
| style="background:#DCDCDC;" align="center" + |Predicted % VTE risk through 77 days
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | |!|}}
|-
{{familytree |border=0 | | | | | | | | | | | | | AE1 | | | |AE1=N o  | | | | | | | | | | |!|}}
| style="background:#F5F5F5;" align="center" + |0
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | |!|}}
| style="background:#F5F5F5;" + |0.5%
{{familytree | | | | | | | | | | | | | N01 | | | | | | | | | | | | | N02 | | | | |N01=CECT/MRI |N02=Recovery}}
|-
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
| style="background:#F5F5F5;" align="center" + |1
{{familytree | | | | | | | | | | | | | O01 | | | | | | | | | | | | | | |O01=Pancreatic necrosis}}
| style="background:#F5F5F5;" + |0.7%
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
|-
{{familytree | | | | | | | | | | | | | P01 |-|-|-|-|-| P02 |-|-|-|-| P03 |P01=Failure to improve clinically after 7-10 days of hospitalization|P02=Yes|P03=Supportive treatment|}}
| style="background:#F5F5F5;" align="center" + |2
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
| style="background:#F5F5F5;" + |1.0%
{{familytree |border=0 | | | | | | | | | | || | AF1 | | | | |AF1=No | | | | | | | | | |}}
|-
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
| style="background:#F5F5F5;" align="center" + |3
{{familytree | | | | | | | | | | | | | Q01 | | | | | | | | | | | | | | |Q01=Suspect Infected necrosis}}
| style="background:#F5F5F5;" + |1.4%
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
|-
{{familytree | | | | | | | | | | | | | R01 |-|-|-|-| R02 |-|-|-|-| R03 |R01=CT guided FNA <br><br> Empiric antibiotics, necrosis penetrating: <br><br>meropenem 1g IV Q8h <br><br> ciprofloxacin 400mg IV Q12h plus metronidazole 500 mg IV Q8h for 14 days |R02=Gram stain & Culture (-) |R03=Supportive treatment<br> Consider repeat CT FNA every 7 days if no improvement }}
| style="background:#F5F5F5;" align="center" + |4
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
| style="background:#F5F5F5;" + |1.9%
{{familytree |border=0 | | | | | | | | | | | | | |  AG1  | | | | | | |AG1=Gram stain & Culture(+) | | | | | | |}}
|-
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
| style="background:#F5F5F5;" align="center" + |5-10
{{familytree | | | | | | | | | | | | | S01 | | | | | | | | | | | | | | |S01=Infected Necrosis}}
| style="background:#F5F5F5;" + |2.75
{{familytree | | | | | | |,|-|-|-|-|-|-|^|-|-|-|-|-|-|.| | | | | | | | |}}
|-
{{familytree | | | | | | T01 | | | | | | | | | | | | T02 | | | | | | | |T01=Clinically stable|T02=Clinically unstable}}
| rowspan="7" style="background:#DCDCDC;" align="center" + |'''IMPROVE score'''<ref name="pmid21436241">{{cite journal| author=Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH et al.| title=Predictive and associative models to identify hospitalized medical patients at risk for VTE. | journal=Chest | year= 2011 | volume= 140 | issue= 3 | pages= 706-14 | pmid=21436241 | doi=10.1378/chest.10-1944 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21436241  }} </ref>
{{familytree | | | | | | |!| | | | | | | | | | | | | |!| | | | | | | | |}}
| style="background:#DCDCDC;" align="center" + |
{{familytree | | | | | | U01 | | | | | | | | | | | | U02 | | | | | | | |U01=Continue antibiotics & observe <br> If asymptomatic no debridement, else consider surgical consultation |U02=Prompt surgical consultation}}
| style="background:#DCDCDC;" align="center" + |Predicted % VTE risk through 3 months
{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
|-
{{familytree/end}}
| style="background:#F5F5F5;" align="center" + |0
| style="background:#F5F5F5;" + |0.5%
|-
| style="background:#F5F5F5;" align="center" + |1
| style="background:#F5F5F5;" + |1.0%
|-
| style="background:#F5F5F5;" align="center" + |2
| style="background:#F5F5F5;" + |1.7%
|-
| style="background:#F5F5F5;" align="center" + |3
| style="background:#F5F5F5;" + |3.1%
|-
| style="background:#F5F5F5;" align="center" + |4
| style="background:#F5F5F5;" + |4%
|-
| style="background:#F5F5F5;" align="center" + |5-8
| style="background:#F5F5F5;" + |11%
|-
| rowspan="2" style="background:#DCDCDC;" align="center" + | '''Padua Score'''<ref name="pmid20738765">{{cite journal| author=Barbar S, Noventa F, Rossetto V, Ferrari A, Brandolin B, Perlati M et al.| title=A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the Padua Prediction Score. | journal=J Thromb Haemost | year= 2010 | volume= 8 | issue= 11 | pages= 2450-7 | pmid=20738765 | doi=10.1111/j.1538-7836.2010.04044.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20738765  }} </ref>
| style="background:#F5F5F5;" align="center" + |< 4
| style="background:#F5F5F5;" + |Low risk for VTE
|-
| style="background:#F5F5F5;" align="center" + |≥ 4
| style="background:#F5F5F5;" + |High risk for VTE
|-
| rowspan="4" style="background:#DCDCDC;" align="center" + |'''Caprini score'''<ref name="pmid1754886">{{cite journal| author=Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F| title=Clinical assessment of venous thromboembolic risk in surgical patients. | journal=Semin Thromb Hemost | year= 1991 | volume= 17 Suppl 3 | issue=  | pages= 304-12 | pmid=1754886 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1754886  }} </ref>
| style="background:#F5F5F5;" align="center" + |0-1
| style="background:#F5F5F5;" + |Low risk of VTE
|-
| style="background:#F5F5F5;" align="center" + |2
| style="background:#F5F5F5;" + |Moderate of VTE
|-
| style="background:#F5F5F5;" align="center" + |3-4
| style="background:#F5F5F5;" + |High risk of VTE
|-
| style="background:#F5F5F5;" align="center" + |≥ 5
| style="background:#F5F5F5;" + |Highest risk for VTE
|}
 
==Images ILD==
<gallery widths=200px>
 
F2.large.jpg | Cellular Players and Molecules in IPF <br> [http://err.ersjournals.com/content/24/135/102.full<font size="-2">''Adapted from European Respiratory Review''</font>]
 
</gallery>
<gallery widths=200px>
 
1-s2.0-S0272523112000044-gr6.jpg | Flow Chart for Lung Fibrosis Evaluation in ILD <br> [http://http://www.sciencedirect.com/science/article/pii/S0272523112000044/ <font size="-2">''Adapted from Clinics in Chest Medicine''</font>]
 
</gallery>
 
==Widget==
 
 
<div class="nomobile">
<div style="position:right; width:50%; float:right; background-color:#d0d0d0; border-radius: 10px;"><span style="position:right; float:right; width: 100%;"><center>'''Tweets by NEJM!'''<hr>{{#Widget:NEJM}}</center>
</span></div>
</div>
 
<br style="clear:right" />
 
==References==

Latest revision as of 16:03, 16 May 2018

==Classification Gastritis

Gastritis Etiology Gasstritis synonyms
Non-atrophic
  • Helicobacter pylori
  • Other factors

Superficial Diffuse antral gastritis (DAG) Chronic antral gastritis (CAG) Interstitial - follicular Hypersecretory Type B*

Atrophic Autoimmune
  • Autoimmunity

Type A* Diffuse corporal Pernicious anemia-associated

Multifocal atrophic Helicobacter pylori Type B*, type AB*
Dietary Environmental
Environmental factors Metaplastic
Special form Chemical Chemical irritation Reactive
  • Bile
  • Reflux
  • NSAIDs
  • NSAID
  • Other agents
  • Type C*
Radiation Radiation injury

Risk assessment table

Scoring criteria for risk assessment*
Scoring system Score Risk
IMPROVEDD Score[1] Predicted % VTE risk through 42 days
0 0.4%
1 0.6%
2 0.8%
3 1.2%
4 1.6%
5-10 2.2%
Predicted % VTE risk through 77 days
0 0.5%
1 0.7%
2 1.0%
3 1.4%
4 1.9%
5-10 2.75
IMPROVE score[2] Predicted % VTE risk through 3 months
0 0.5%
1 1.0%
2 1.7%
3 3.1%
4 4%
5-8 11%
Padua Score[3] < 4 Low risk for VTE
≥ 4 High risk for VTE
Caprini score[4] 0-1 Low risk of VTE
2 Moderate of VTE
3-4 High risk of VTE
≥ 5 Highest risk for VTE

Images ILD

Widget

Tweets by NEJM!


References

  1. . doi:10.1055/s-0037-160392910.1055/s-0037-1603929. Missing or empty |title= (help)
  2. Spyropoulos AC, Anderson FA, Fitzgerald G, Decousus H, Pini M, Chong BH; et al. (2011). "Predictive and associative models to identify hospitalized medical patients at risk for VTE". Chest. 140 (3): 706–14. doi:10.1378/chest.10-1944. PMID 21436241.
  3. Barbar S, Noventa F, Rossetto V, Ferrari A, Brandolin B, Perlati M; et al. (2010). "A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the Padua Prediction Score". J Thromb Haemost. 8 (11): 2450–7. doi:10.1111/j.1538-7836.2010.04044.x. PMID 20738765.
  4. Caprini JA, Arcelus JI, Hasty JH, Tamhane AC, Fabrega F (1991). "Clinical assessment of venous thromboembolic risk in surgical patients". Semin Thromb Hemost. 17 Suppl 3: 304–12. PMID 1754886.