First Year Fellows Endoscopy Course (July 31 - August 1)

10_The On Call Call

Pdf Summary

The document discusses different scenarios and issues that can arise during on-call duties as a GI fellow. In the first case, a patient calls with a question about their prep instructions for a colonoscopy. The importance of professionalism and providing accurate and patient-centered information is emphasized. The document also provides information on different colonoscopy preps and what is permissible to consume before the procedure. It also advises on the management of medications for diabetic patients on the day of the exam. Strategies to prevent patient vomiting during prep are also mentioned.<br /><br />In the second case, an ICU resident requests an urgent scope for a patient with GI bleed. The document explains the difference between emergent and urgent endoscopy and provides indications for each. It stresses the importance of conducting an on-call assessment and guiding residents in managing GI bleeds. The document also provides guidance on assessing patients for endoscopy and coordinating with other specialties when necessary.<br /><br />The third case involves a patient experiencing pain after a colonoscopy. The document provides a differential diagnosis for post-procedure pain and advises on when to send patients to the emergency room. It also discusses the complications that can occur after an ERCP and emphasizes the need for communication, documentation, and early notification of other specialties when complications are suspected.<br /><br />Overall, the document provides guidance and information on managing different scenarios and issues that can arise during on-call duties as a GI fellow.

Keywords

on-call duties

GI fellow

patient question

prep instructions

colonoscopy

medication management

urgent scope

GI bleed

assessing patients

complications