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

Classification
Patients With Bleeding ... and Predicting Risk ... of Rebleeding ... II Stigmata of bleeding ... #Risk #Rebleeding
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Rebleeding risks ... are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed
Lower GI Bleeding - Scoping Summary
 • Hematochezia
 • History and Physical
 • LGI Bleeding and
Lower GI Bleeding ... Physical • LGI Bleeding ... Antiplatelet Therapy • Risk ... #Summary #Endoscopy ... hematochezia #diagnosis #management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
banding, RR of rebleeding ... esophageal variceal bleed ... May help prevent bleeding ... without increased risk ... #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 ... routine NG tube • Risk ... If peptic ulcer bleeding ... • Rescope if bleed
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... , post-partum) bleeding ... RP bleed) • Hypovolemic ... #diagnosis #management ... #differential #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... , post-partum) bleeding ... RP bleed) • Hypovolemic ... #diagnosis #management ... #differential #
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
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
presenting with acute Lower ... GI Bleed High-risk ... symptorns of ongoing bleeding ... stable, no ongoing bleeding ... #Lower #GIBleed
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... anticipate active bleeding ... - If without bleeding ... banded if the lower