9 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... Consult GI ± EGD Causes ... of Upper GI Bleed ... Disease • Variceal Bleeding
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... GI bleeding (LGIB ... Unstable (Rule out upper ... gastrointestinal #gastroenterology
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 ... Lower GI Bleed ( ... versus #diagnosis #gastroenterology
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Upper: • Esophagus ... differential #diagnosis #Causes ... #algorithm
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
hematuria + clots ➔ Lower ... of Glomerular Bleeding ... Ureter/Bladder (Upper ... • Anticoagulation ... Pseudohematuria: • GI bleed
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Upper Gastronintestinal ... Bleed - Differential ... Diagnosis Algorithm ... - Exclude bleeding ... #Causes
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... Differential Diagnosis Algorithm ... • Occult UGI bleeding ... RULE OUT BRISK Upper ... #Causes
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
the varix that bled ... in the mid or upper ... banded if the lower ... banded the one that bled ... Tricks #management #gastroenterology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Simultaneous clotting and bleeding ... Treat underlying cause ... swelling, dyspnea, upper-extremity ... stenting - Consider anticoagulation ... 100 000 (can be lower