8 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 ... Disease • Variceal Bleeding ... #GI #Bleed #UGIB ... 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 ... lavage - BUN/Cr ... versus #diagnosis #gastroenterology ... #ugib #lgib
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Suspected lower GI bleeding ... Unstable (Rule out upper ... #management #Algorithm ... gastrointestinal #gastroenterology
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
The upper lobe is ... small airways leading ... to pulmonary cyst ... #Clinical #Radiology ... #CXR #Pneumothorax
Hemorrhage
In this case there was a solitary nodule in the right upper lobe and a biopsy
nodule in the right upper ... contusion - Pulmonary ... infarction - Bleeding ... Goodpasture's, Wegener's #Clinical ... #Radiology #CXR
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... Change in clinical ... - what is the bleeding ... undergoing AAA or upper
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
The upper lobe is ... small airways leading ... to pulmonary cyst ... #Clinical #Radiology ... #CXR #Pneumothorax
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
sounds on the upper ... a chest x-ray (CXR ... not seen on a CXR ... intra-abdominal bleeding ... #Radiology #CTChest