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Management Algorithm for Suspected Upper GI Bleed (UGIB)

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Upper
for Suspected Upper ... GI Bleed (UGIB) ... EricsMedicalLectures/ #Upper ... #GIBleed #UGIB ... #Algorithm #gastroenterology
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 ... MatthewHoMD #Upper ... #GI #Bleed #UGIB
Upper GI Bleed Management Checklist
 - Recognition
 - Resuscitation 
 - Risk Assessment
 - Rx
 -
Upper GI Bleed Management ... @drkeithsiau #Upper ... #GIBleed #UGIB ... #Management #Checklist ... #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Unstable (Rule out upper ... GI bleed) vs Stable ... #Bleed #LGIB #GIBleed ... gastrointestinal #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Distinguishing Upper ... Upper GI Bleed ... Lower GI Bleed ( ... EricsMedicalLectures/ #Upper ... #ugib #lgib
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Minnesota Tubes for Upper ... GI Bleeds Minnesota ... Minnesota #Tubes #UGIB ... #Upper #GIBleed ... #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 #UGIB ... diagnosis #endoscopy #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... #NonVariceal #Upper ... #GIBleed #management ... #UGIB
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial ... RBCs) • Obtain bacterial ... TMP-SMX • Active upper ... GI bleed: use IV ... SBP #diagnosis #management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
patients present with upper ... GIB with hematemesis ... melena - Other GI ... Necrosis #diagnosis #management ... #gastroenterology