6 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 ... Consult GI ± EGD Causes ... of Upper GI Bleed ... Disease • Variceal Bleeding
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... Upper GI Bleed ... units) • Notable risk ... versus #diagnosis #gastroenterology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... - what is the bleeding ... risk of surgery ... undergoing AAA or upper
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... from the ulcer caused ... without increased risk ... • Surgery (PMID ... ebm #evidence #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... • Occult UGI bleeding ... Patient • RULE OUT BRISK ... Upper GI bleed, ... #Causes
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... routine NG tube • Risk ... • Rescope if bleed ... endoscopy fails • Surgery ... GIBleed #management #gastroenterology