8 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... Disease • Variceal Bleeding ... gastrointestinal #gastroenterology
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):
Lower GI Bleeding ... Upper GI Bleed ... hematochezia if the bleeding ... Lower GI Bleed ( ... versus #diagnosis #gastroenterology
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
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 ... asymptomatic IBD Overt Bleeding ... RULE OUT BRISK Upper
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... Cirrhosis & GI bleeding ... solid lesions (upper ... or lower GI tract ... #Indications #Gastroenterology
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
500 → may stop antibiotics ... Simultaneous clotting and bleeding ... swelling, dyspnea, upper-extremity ... stenting - Consider anticoagulation ... 100 000 (can be lower