14 results
diagnosis gastroenterology gibleed summary cardiology hematochezia nonvariceal perioperative preop treatment variceal varices chf classification criticalcare ddi differential doac drugdrug ebm
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Rebleeding risks ... are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... gastroenterology #EGD #clinical
Esophageal Variceal Bleeding - Scoping Summary GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B): V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
products E - Endoscopy ... settings - Pre-endoscopic ... Care - Endoscopy ... #Summary #Endoscopy ... #algorithm #VARICEALB
Evidence for Treatment of Acute Esophageal Variceal Bleeding • Octreotide (PMID: 11870374) - Endoscopic banding +
PMID: 11870374) - Endoscopic ... esophageal variceal bleed ... =0.53 • Endoscopic ... Endoscopic Variceal ... #varices #management
Lower GI Bleeding - Scoping Summary • Hematochezia • History and Physical • LGI Bleeding and
Lower GI Bleeding ... Antiplatelet Therapy • Risk ... #Summary #Endoscopy ... hematochezia #diagnosis #management ... #algorithm
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Scoping Summary Pre-Endoscopic ... sens. >12 inc. risk ... #diagnosis #management ... #algorithm
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy) Pill endoscopy • Able to
Colonoscopy) Pill endoscopy ... double-balloon endoscopy ... may obscure bleeding ... intraoperative endoscopy ... double-balloon endoscopy
Acute Non-Variceal Upper GI Bleeding Pre-Endoscopy Management: • Hemodynamic resuscitation • No routine NG tube • Risk
Pre-Endoscopy Management ... routine NG tube • Risk ... • 'Early endoscopy ... 24 hours Post-Endoscopy ... embolization if endoscopy
Perioperative Management of DOACs Problem: ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... per treatment table ... Therapy • Low Bleed-Risk ... postoperative • High Bleed-Risk ... #Treatment #pharmacology
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products Angiotensin-Converting Enzyme Inhibitors (ACEIs) • Night-blooming
Clinically Significant ... risk • St. ... to increased bleed ... supplementals #herbal #pharmacology ... #DDI #table #cardiology
Algorithmic Approach to Severe Hematochezia - Hematochezia is due to a lower GI bleed ~85% of
Algorithmic Approach ... with an upper endoscopy ... delay appropriate management ... which involve risk ... #Diagnosis #Management
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