20 results
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Evaluation and Management ... Gastrointestinal Bleeding ... #Diagnosis #Management ... #EM #GI #Bleed ... Resuscitation #Differential
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 ... #Differential # ... Diagnosis #management
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and Classification ... HYPOVOLEMIC 16% • Bleed ... (GIB, RP bleed) ... pancreatitis), GI ... #diagnosis #differential
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... Lower #GIBleed #comparison ... #versus #diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Trauma • GI ... Retroperitoneal bleed ... #Diagnosis #Classification
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Differential Diagnosis ... Post-Polypectomy Bleeding ... GIBleed #LGIB #Differential ... #Diagnosis #gastroenterology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... out (trauma, GI ... RP bleed) • Hypovolemic ... #diagnosis #management ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... out (trauma, GI ... RP bleed) • Hypovolemic ... #diagnosis #management ... #criticalcare #differential
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Hemoptysis - Differential ... Diagnosis Framework ... Bevacizumab Mimics: • GI ... bleed: esophageal ... Nasopharyngeal bleeding
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
and Management ... • Should be on differential ... may be herald bleed ... Typical "herald bleed ... Management: SURGERY