10 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 ... of Upper GI Bleed ... gastrointestinal #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Sepsis Diagnosis EGD ... mlVF, PPI gtt, GI ... Braghirol @KBrag_MD #Acute ... #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 ... diagnosis #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 ... NatalieRosen_MD #GI ... #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... EGD + Colonoscopy ... MatthewHoMD #GI ... #Bleed #GIBleed ... #management #gastroenterology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... bleeding out (trauma, GI ... : GI (vomiting/diarrhea ... Classification #diagnosis #management ... #Overview #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... bleeding out (trauma, GI ... : GI (vomiting/diarrhea ... Classification #diagnosis #management ... #Overview #criticalcare
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
Radiation Injury Acute ... , Dehydration, GI ... Bleed • Dose ... CXRs Primary ED ... Toxicity #diagnosis #management
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... #management #gastroenterology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Coagulation (DIC) Overview ... malignancy (Especially acute ... Fibrinolysis → End ... - APTT < 1.5 x normal ... causes #treatment #management