21 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... , EFTR) Gregory ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD ... Disease • Variceal Bleeding ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Algorithm and Management ... Angiopathy, Trauma, Bleeding ... Atherosclerosis, Dissection ... #Stroke #CVA #Differential
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... and Biopsy Differential ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management ... #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... • Should be on differential ... may undergo EGD ... Sensitivity of EGD ... - If negative, EGD
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Pearls Aortic dissection ... Pulse deficit/differential ... Shock Treatment - ED ... #diagnosis #management
Endoscopic Submucosal Dissection (ESD) - Polyp Resection Techniques

Technique:
 • The polyp is then lifted by submucosal
Endoscopic Submucosal Dissection ... (ESD) - Polyp Resection ... perforation and bleeding ... #ESD #Polyp #Resection ... #Management #gastroenterology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... valvular rupture, dissection ... gastrointestinal bleeding ... types #diagnosis #management ... #criticalcare #differential
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Findings: • Bleeding ... Fibrinolysis → End ... Findings: • Bleeding ... • Subcutaneous dissecting ... causes #treatment #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... - Irreversible end-organ ... valvular rupture, dissection ... gastrointestinal bleeding ... Types #diagnosis #management