14 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 ... Resuscitation/Restrictive (Critical ... TEG -> dec. in blood ... - Refractory Bleeding ... Regarding Variceal Bleed
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... • Restrictive blood ... If peptic ulcer bleeding ... • Rescope if bleed ... NonVariceal #Upper #GIBleed
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... - Differential ... Hematemesis/Melena - Blood ... - Exclude bleeding ... Gastronintestinal #Differential
Blood Filled Stomach in Upper GI Bleed on POCUS

With hypotension and an UGIB, it always helps
in Upper GI Bleed ... on POCUS With ... #gastric #pocus ... #Stomach #UGIBleed ... #clinical #ultrasound
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Clear Cap Tamponade of Bleeding on Endoscopy
Clear Cap Crowd Control : stop active bleeding using tamponade
Cap Tamponade of Bleeding ... on Endoscopy Clear ... keep the field blood ... torrential focal bleed ... #Endoscopy #clinical
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Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
the duodenum Clinical ... • Should be on differential ... may be herald bleed ... Typical "herald bleed ... patients with massive bleed
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Gastronintestinal Bleed ... - Differential ... Stool + Occult blood ... BRISK Upper GI bleed ... , Diverticular bleed
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... urine • 1ml blood ... of Glomerular Bleeding ... Pseudohematuria: • GI bleed ... #renal #urine #blood
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
acute Lower GI Bleed ... Multiple high-risk clinical ... if indicated, blood ... IV fluids and blood ... #Lower #GIBleed