11 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... Disease • Variceal Bleeding ... #gastroenterology
Management Algorithm for Suspected Upper GI Bleed (UGIB)

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

#Upper
Management Algorithm ... for Suspected Upper ... GI Bleed (UGIB) ... UGIB #diagnosis #Management ... #Algorithm #gastroenterology
Stress Ulcer Prophylaxis

Stress ulcerations are common in ICU patients and may lead to hemorrhage if not
Stress Ulcer Prophylaxis ... ulceration of the upper ... Presentation • Management ... #criticalcare #pharmacology ... #management
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Suspected lower GI bleeding ... Unstable (Rule out upper ... LGIB #GIBleed #management ... #gastroenterology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... Diagnosis and Management ... is acceptable Upper ... Gl bleeding: Short-term ... #Spontaneous #Bacterial
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 ... and esophageal bleeding ... #GIBleed #management ... #instructions #gastroenterology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
fluid opsonins Prophylaxis ... TMP-SMX • Active upper ... GI bleed: use IV ... SBP #diagnosis #management ... #prophylaxis #treatment
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... • Rescope if bleed ... #NonVariceal #Upper ... #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... May help prevent bleeding ... RR of bacterial ... #varices #management ... ebm #evidence #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... in the mid or upper ... banded the one that bled ... #gastroenterology