9 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... ± EGD Causes ... #Bleed #UGIB #GIBleed ... #Differential #
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential ... mlVF, PPI gtt, GI ... Esophageal #Necrosis #black ... #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper GI ... Bleeding Acute ... Classification #Upper #GIBleed ... #endoscopy #gastroenterology ... #egd
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Response Management ... intervention (EGD ... #Bleed #GIB #Gastrointestinal ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... NonVariceal #Upper #GIBleed ... #management #gastroenterology ... #UGIB
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
melena - Other GI ... Diagnosis: - EGD ... circumferential black ... Necrosis #diagnosis #management ... #gastroenterology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
dependent areas, back ... bleeding out (trauma, GI ... : GI (vomiting/diarrhea ... Classification #diagnosis #management ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
dependent areas, back ... bleeding out (trauma, GI ... : GI (vomiting/diarrhea ... Classification #diagnosis #management ... #criticalcare #differential
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
molecules move back ... It's time to end ... blood loss or acute ... issues other than GI ... pathophysiology #differential