12 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
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
of Upper GI Bleeding ... Acute Hemorrhage ... 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
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
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... out (trauma, GI ... , post-partum) bleeding ... : GI (vomiting/diarrhea ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... out (trauma, GI ... , post-partum) bleeding ... : GI (vomiting/diarrhea ... Classification #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
following cardiac arrest ... insufficiency, acute ... valvular rupture, dissection ... gastrointestinal bleeding ... Types #diagnosis #management
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
malignancy (Especially acute ... Fibrinolysis → End ... • Subcutaneous dissecting ... primary cause • Correct ... causes #treatment #management