21 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... #Forrest #Classification ... gastroenterology #EGD #clinical
Differential Diagnosis of 3rd Trimester Bleeding: #Diagnosis #EM #OBGyn #Third #Trimester #ThirdTrimester #Bleed #Vaginal #Differential #Algorithm
Differential Diagnosis ... 3rd Trimester Bleeding ... ThirdTrimester #Bleed ... #Vaginal #Differential ... #Algorithm #Ddxof
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Gastrointestinal Bleeding ... Management #EM #GI #Bleed ... Resuscitation #Differential ... #Algorithm #Ddxof
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and Classification ... HYPOVOLEMIC 16% • Bleed ... (GIB, RP bleed) ... #diagnosis #differential ... #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Retroperitoneal bleed ... #Diagnosis #Classification ... #Table #CriticalCare
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 • No
Bleeding risk calculators ... - HAS-BLED (atrial ... validated for VTE treatment ... studies suggest net clinical ... with very high bleeding
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... • Hemorrhagic: bleeding ... RP bleed) • Hypovolemic ... management #Overview #criticalcare ... #differential #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... • Hemorrhagic: bleeding ... RP bleed) • Hypovolemic ... management #Overview #criticalcare ... #differential #
Stress Ulcer Prophylaxis

Stress ulcerations are common in ICU patients and may lead to hemorrhage if not
prevention of bleeding ... ulceration or treatment ... ulcer-related bleeding ... Risk Factors • Clinical ... #Prophylaxis #criticalcare
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