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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{marclasco16}
\pdfinfo{
  /Title (gi-disorders.pdf)
  /Creator (Cheatography)
  /Author (marclasco16)
  /Subject (GI DISORDERS Cheat Sheet)
}

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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{GI DISORDERS Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{marclasco16} via \textcolor{DarkBackground}{\uline{cheatography.com/184894/cs/38622/}}}
\end{tabulary}
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\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}marclasco16 \\
  \uline{cheatography.com/marclasco16} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 10th May, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

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% www.emerson.emory.edu/services/latex/latex_169.html
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\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{ACUTE LIVER FAILURE}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Sudden and severe liver cell dysfunction, coagulability, and hepatic encephalopathy} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Causes: infections, toxins, drug use, medication toxicity, poisoning, hypoperfusion, metabolic disorders, surgery} \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{High mortality} \tn 
% Row Count 6 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{{\bf{DIAGNOSING ACUTE LIVER FAILURE}}} \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{EARLY RECOGNITION IS KEY!} \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Signs/Symptoms: headache, jaundice,changes in mental status, bruising, bleeding, palmar erythema, elevated bilirubin, ammonia, decreased albumin, prothrombin time is elevated and plasmin and platelets are decreased} \tn 
% Row Count 13 (+ 5)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{HEPATIC ENCEPHALOPATHY STAGES}}} \tn 
% Row Count 14 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{I. Euphoria vs depression, mild confusion, slurred speech, disordered sleep, slight asterixis, normal EEG} \tn 
% Row Count 17 (+ 3)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{II.Lethargy, moderate confusion, marked asterixis, abnormal EEG} \tn 
% Row Count 19 (+ 2)
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{III.Marked confusion, incoherent speech, sleepy but arousable, asterixis present, abnormal EEG} \tn 
% Row Count 21 (+ 2)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{IV.Coma, responsive then nonresponsive to painful stimuli, asterixis absent, abnormal EEG} \tn 
% Row Count 23 (+ 2)
% Row 11
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{{\bf{MANAGEMENT FOR ACUTE LIVER FAILURE}}} \tn 
% Row Count 24 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\emph{ Antibiotic: neomycin, metronidazole,rifaximin }} {\emph{Lactulose }} {\emph{Prevent bleeding with vitamin K, FFP, platelets }} {\emph{Monitor for infection }}{\emph{ Protect patient from injury }} Monitor for complication {\emph{ }}Education} \tn 
% Row Count 29 (+ 5)
% Row 13
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{SURGICAL MANAGEMENT:  Esophagectomy Pancreaticoduodenectomy, Endoscopic variceal litigation, Endoscopic injection therapy, Trans jugular intrahepatic portosystemic shunt procedure} \tn 
% Row Count 33 (+ 4)
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{ACUTE LIVER FAILURE (cont)}}  \tn
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{PHARMACOLOGICAL TREATMENT}}} \tn 
% Row Count 1 (+ 1)
% Row 15
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Antacids, PPIs, H2 antagonist, Sucralfate, Vasopressin, Octreatide} \tn 
% Row Count 3 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{5.7358 cm} x{5.5671 cm} x{5.5671 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{17.67cm}}{\bf\textcolor{white}{ACUTE GI HEMORRHAGE}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{CLINICAL MANIFESTATIONS}} & {\bf{ASSESSMENT FINDINGS AND DIAGNOSIS FOR GI BLEED}} & {\bf{MEDICAL MANAGEMENT FOR GI BLEED}} \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
Stress related mucosal disease: seen a lot because increase acid, decreased mucosal flow & Melena: digestion of blood from upper GI bleed (purplish red clotty blood) & Maintain Airway, Fluid \seqsplit{Resuscitation} \tn 
% Row Count 11 (+ 7)
% Row 2
\SetRowColor{LightBackground}
Bleeding in upper or lower GI tract & Hematemesis: vomit blood(coffee ground or bright red) & Any patients in ICU at risk \tn 
% Row Count 16 (+ 5)
% Row 3
\SetRowColor{white}
Peptic ulcer disease & \seqsplit{Hematochezia:} blood in the stool lower GI bleed & Administer prophylactic medications: PPIs, Histamine 2 antagonist \tn 
% Row Count 21 (+ 5)
% Row 4
\SetRowColor{LightBackground}
Esophageal varices: blood vessels in esophagus increase in size and rupture (cirrhosis) & Hbg and Hct is not going to determine bleeding, severity will based off patient & Determine cause of bleeding, control and stop bleeding \tn 
% Row Count 28 (+ 7)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{ABDOMINAL TRAUMA}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Often associated with multisytem trauma} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Blunt or penetrating} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{PHYSICAL ASSESSMENT AND DIAGNOSIS}}} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Abdominal distention, Cullen Sign, Grey-Turner sign, hypoactive or absent bowel sounds, rebound tenderness, Kerrs sign, entry/exit wounds} \tn 
% Row Count 6 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Focused assessment, CT scans, abdominal x-rays, peritoneal lavage} \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{{\bf{COMPLICATIONS}}} \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{{\emph{Abdominal compartment syndrome}}}}} \tn 
% Row Count 10 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Increased pressure causes decreased blood flow leading to ischemia and necrosis} \tn 
% Row Count 12 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Decreased CO, decreased UOP,hypoxia} \tn 
% Row Count 13 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{May need to leave abdomen open after surgery to prevent occurence} \tn 
% Row Count 15 (+ 2)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{{\emph{Live Injuries}}}}} \tn 
% Row Count 16 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Hemorrhage is very common} \tn 
% Row Count 17 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Often hemodynamically unstable} \tn 
% Row Count 18 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Jaundice, coagulopathy, acidosis, hypthermia contribute} \tn 
% Row Count 20 (+ 2)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{{\emph{Spleen Injuries}}}}} \tn 
% Row Count 21 (+ 1)
% Row 15
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Sometimes hemodynamically unstable} \tn 
% Row Count 22 (+ 1)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Often attempt to embolize instead of remove spleen} \tn 
% Row Count 23 (+ 1)
% Row 17
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Patients with splenectomy at high risk for infection} \tn 
% Row Count 25 (+ 2)
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{{\emph{Hollow viscus Injuries}}}}} \tn 
% Row Count 26 (+ 1)
% Row 19
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Stomach, Small and Large Intestine} \tn 
% Row Count 27 (+ 1)
% Row 20
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Often hard to see/diagnosis} \tn 
% Row Count 28 (+ 1)
% Row 21
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Can lead to peritonitis} \tn 
% Row Count 29 (+ 1)
% Row 22
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{{\emph{Kidney Injuries}}}}} \tn 
% Row Count 30 (+ 1)
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{ABDOMINAL TRAUMA (cont)}}  \tn
% Row 23
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{May see flank ecchymosis} \tn 
% Row Count 1 (+ 1)
% Row 24
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{May see gross or microscopic hematuria} \tn 
% Row Count 2 (+ 1)
% Row 25
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{{\emph{Bladder Injuries}}}}} \tn 
% Row Count 3 (+ 1)
% Row 26
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Usually because of pelvic fractures} \tn 
% Row Count 4 (+ 1)
% Row 27
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Patients complain of difficulty or inability to void} \tn 
% Row Count 6 (+ 2)
% Row 28
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{Conservative treatment is catheterization and antibiotics} \tn 
% Row Count 8 (+ 2)
% Row 29
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{{\bf{{\emph{Pelvic Fractures}}}}} \tn 
% Row Count 9 (+ 1)
% Row 30
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{High mortality due to large area that is highly vascular} \tn 
% Row Count 11 (+ 2)
% Row 31
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{17.67cm}}{Can be stable or unstable} \tn 
% Row Count 12 (+ 1)
% Row 32
\SetRowColor{white}
\mymulticolumn{1}{x{17.67cm}}{May indicate more severe injuries such as SCI} \tn 
% Row Count 13 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{17.67cm}{x{4.1175 cm} x{4.1175 cm} x{4.1175 cm} x{4.1175 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{17.67cm}}{\bf\textcolor{white}{ACUTE PANCREATITIS}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{CLINICAL MANIFESTATIONS}} & {\bf{ASSESSMENT FINDINGS }} & {\bf{DIAGNOSTICS}} & {\bf{MANAGEMENT}} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Acute \seqsplit{Inflammation} that produces exocrine and endocrine \seqsplit{dysfunction} that may also involve \seqsplit{surrounding} tissues & Pain, N/V, fever, guarding of abdomen & \seqsplit{Labs:amylase}, lipase,c-reactive protein, WBC, decreased calcium,bilirubin high, decreased albumin & Replace fluid volume \seqsplit{loss/shifts}, closely monitor \seqsplit{electrolytes/glucose} levels \tn 
% Row Count 14 (+ 11)
% Row 2
\SetRowColor{LightBackground}
80\% have edematous \seqsplit{interstitial} \seqsplit{pancreatitis} (less severe) & \seqsplit{Hypovolemic} shock, absent bowel sounds, grey turner's sign & Abdominal \seqsplit{ultrasound} of \seqsplit{gallstones} & \seqsplit{Monitoring} \seqsplit{complications}, using NGT only if patient has vomiting, \seqsplit{obstruction}, or severe gastric \seqsplit{distention} \tn 
% Row Count 25 (+ 11)
% Row 3
\SetRowColor{white}
20\% have \seqsplit{necrotizing} \seqsplit{pancreatitis} (more severe) & Jaundice, ascites, Cullen's signs, abdominal mass & CT scan for \seqsplit{inflammatory/necrosis} & Provide emotional support and education, \seqsplit{Nutritional} support \tn 
% Row Count 31 (+ 6)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\end{tabularx}
\par\addvspace{1.3em}



\end{document}