12 results
Differential Diagnosis in Upper and Lower GI Bleed
 
- By Dr. Eric Strong @DrEricStrong 

#Upper #Lower
Differential Diagnosis ... in Upper and Lower ... GI Bleed - By ... #Lower #GIBleed ... Diagnosis #Table
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 ... GI Bleed: • Peptic ... #GI #Bleed #UGIB ... #GIBleed #Differential
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... GI bleeding (LGIB ... Unstable (Rule out upper ... GI bleed) vs Stable ... #GI #Bleed #LGIB
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... If peptic ulcer bleeding ... • Rescope if bleed ... #NonVariceal #Upper
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... may obscure bleeding ... MatthewHoMD #GI ... #management #gastroenterology ... #table #imaging
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
Hematochezia is due to a lower ... GI bleed ~85% of ... GI bleed with rapid ... GI bleed is usually ... upper GI bleed.
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... - Differential ... • Occult UGI bleeding ... RULE OUT BRISK Upper ... GI bleed, Diverticular
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... hematuria + clots ➔ Lower ... Ureter/Bladder (Upper ... Pseudohematuria: • GI ... bleed • Menstruation
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... bleeding - EUS-FNA ... solid lesions (upper ... or lower GI tract ... Gastroenterology #Management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... in the mid or upper ... banded if the lower ... banded the one that bled