15 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 ... #UGIB #GIBleed
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
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... If peptic ulcer bleeding ... • Rescope if bleed ... NonVariceal #Upper #GIBleed
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
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Gastronintestinal Bleed ... BRISK Upper GI bleed ... , Diverticular bleed ... , • Acute colitis ... Diagnosis #Algorithm #Causes
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 ... patients with massive bleed
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products
Angiotensin-Converting Enzyme Inhibitors (ACEIs)
 • Night-blooming
Clinically Significant ... palmetto - Increases bleeding ... to increased bleed ... vera, Licorice - Causes ... palmetto - Increases bleeding
Clear Cap Tamponade of Bleeding on Endoscopy
Clear Cap Crowd Control : stop active bleeding using tamponade
Cap Tamponade of Bleeding ... on Endoscopy Clear ... : stop active bleeding ... torrential focal bleed ... #Endoscopy #clinical
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