15 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Rebleeding risks ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... #gastroenterology ... #EGD #clinical
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 • No
Bleeding risk calculators ... - HAS-BLED (atrial ... studies suggest net clinical ... benefit of anticoagulation ... Calculators #Anticoagulation
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD Causes ... Disease • Variceal Bleeding ... Diagnosis #management #Algorithm ... gastrointestinal #gastroenterology
HAS-BLED Score for Major Bleeding Risk of Anticoagulation in Atrial Fibrillation

A clinical mnemonic to estimate the
HAS-BLED Score for ... Risk of Anticoagulation ... Fibrillation A clinical ... with anticoagulation ... #Bleed #Anticoagulation
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... Upper GI Bleed ... units) • Notable risk ... versus #diagnosis #gastroenterology
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products
Angiotensin-Converting Enzyme Inhibitors (ACEIs)
 • Night-blooming
Clinically Significant ... palmetto - Increases bleeding ... risk • St. ... to increased bleed ... vera, Licorice - Causes
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... from the ulcer caused ... around 90% of cases ... without increased risk ... ebm #evidence #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... • Occult UGI bleeding ... asymptomatic IBD Overt Bleeding ... Patient • RULE OUT BRISK ... #Causes
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 #causes
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 #causes