10 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 ... ± EGD Causes ... Disease • Variceal Bleeding ... gastrointestinal #gastroenterology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... endoscopy - EUS ... , EFTR) Gregory ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper GI ... Bleeding Acute ... Classification #Upper #GIBleed ... diagnosis #endoscopy #gastroenterology ... #egd
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Necrosis History ... Sepsis Diagnosis EGD ... mlVF, PPI gtt, GI ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
acidosis, and Aortic dissection ... melena - Other GI ... Diagnosis: - EGD ... #diagnosis #management ... #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... EGD + Colonoscopy ... may obscure bleeding ... MatthewHoMD #GI ... #management #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... and submucosal dissection ... mucosa Stricture Management ... sections of the GI ... procedures GI Endoscopes
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... If peptic ulcer bleeding ... NonVariceal #Upper #GIBleed ... #management #gastroenterology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
malignancy (Especially acute ... Fibrinolysis → End ... • Subcutaneous dissecting ... - MAHA: TTP/HUS ... causes #treatment #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
bleeding - EUS-FNA ... prosthesis - EUS-FNA ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology ... #Management