38 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... - 50% Re-bleeding ... gastroenterology #EGD #clinical
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... PRINCIPLES OF MANAGEMENT ... Resuscitation/Restrictive (Critical ... Regarding Variceal Bleed ... Management By
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... from the ulcer caused ... around 90% of cases ... around 90% of cases ... #varices #management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Consult GI ± EGD Causes ... Disease • Variceal Bleeding ... Differential #Diagnosis #management
Bleeding Diverticulum Clipping on Colonoscopy

This is often what happens when you clip the mouth of the
Bleeding Diverticulum ... the mouth of the bleeding ... Bleeds through.. ... #Colonoscopy #clinical ... diverticulosis #endoscopy
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Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI Bleed ... non-therapeutic, massive bleed ... may obscure bleeding ... MatthewHoMD #GI #Bleed ... #GIBleed #management
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... Management: • ... If peptic ulcer bleeding ... • Rescope if bleed
Endoscopic Findings in Active Ulcerative Colitis
 • Ulcer with spontaneous bleeding
 • Erythema
 • Mucosal scar
Endoscopic Findings ... Active Ulcerative Colitis ... with spontaneous bleeding ... pseudopolyps #Endoscopic ... #UC #clinical #
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... the duodenum Clinical ... may be herald bleed ... Typical "herald bleed ... Management: SURGERY
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Gastronintestinal Bleed ... • Occult UGI bleeding ... asymptomatic IBD Overt Bleeding ... , • Acute colitis ... Diagnosis #Algorithm #Causes