22 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Consult GI ± EGD Causes ... of Upper GI Bleed ... #UGIB #GIBleed ... #Differential #Diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Retroperitoneal bleed ... exacerbation (any cause ... Classification #Table ... #CriticalCare
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... HYPOVOLEMIC 16% • Bleed ... (GIB, RP bleed) ... Classification #diagnosis #differential ... #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... RP bleed) • Hypovolemic ... management #Overview #criticalcare ... #differential # ... causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... RP bleed) • Hypovolemic ... management #Overview #criticalcare ... #differential # ... causes #classification
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI Bleed ... to assess sites ... non-therapeutic, massive bleed ... may obscure bleeding ... MatthewHoMD #GI #Bleed
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
per treatment table ... and procedural bleeding ... with a very low bleeding ... Therapy • Low Bleed-Risk ... postoperative • High Bleed-Risk
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Hemoptysis - Differential ... Necrotizing PNA, Abscess ... Mimics: • GI bleed ... Nasopharyngeal bleeding ... Diagnosis #pulmonary #causes
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... - Differential ... - Exclude bleeding ... Gastronintestinal #Differential ... Diagnosis #Algorithm #Causes
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... of Glomerular Bleeding ... Exercise induced bleeding ... Pseudohematuria: • GI bleed ... #Hematuria #Differential