21 results
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
for Describing Endoscopic ... and Predicting Risk ...  Ia  Spurting bleed ... liquid  Ib  Oozing bleed ... #EGD #Risk #Rebleeding
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... Prevalence and Risk ... value for the risk ... should receive endoscopic ... Stigmata #EGD #Endoscopy
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Rebleeding risks ... are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... #Risks #Grading
Lower GI Bleeding - Scoping Summary
 • Hematochezia
 • History and Physical
 • LGI Bleeding and
Lower GI Bleeding ... Physical • LGI Bleeding ... Antiplatelet Therapy • Risk ... Stratification in GI Bleeding ... #Summary #Endoscopy
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... hematochezia if the bleeding ... units) • Notable risk ... Lower GI Bleed (
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Differential Diagnosis ... Post-Polypectomy Bleeding ... Medicine @SCVMCMed #Lower ... GIBleed #LGIB #Differential
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Esophageal Variceal Bleeding ... PMID: 11870374) - Endoscopic ... esophageal variceal bleed ... =0.53 • Endoscopic ... without increased risk
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... - Differential ... • Occult UGI bleeding ... asymptomatic IBD Overt Bleeding ... Patient • RULE OUT BRISK
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... routine NG tube • Risk ... If peptic ulcer bleeding ... • Rescope if bleed
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... hematuria + clots ➔ Lower ... of Glomerular Bleeding ... Bladder (Upper and Lower ... Pseudohematuria: • GI bleed