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Management Algorithm for Suspected Upper GI Bleed (UGIB)

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Upper
Management Algorithm ... for Suspected Upper ... #GIBleed #UGIB ... #diagnosis #Management ... #Algorithm #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... #Diagnosis #management ... gastrointestinal #gastroenterology
Upper GI Bleed Management Checklist
 - Recognition
 - Resuscitation 
 - Risk Assessment
 - Rx
 -
Upper GI Bleed Management ... @drkeithsiau #Upper ... #GIBleed #UGIB ... #Management #Checklist ... #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Distinguishing Upper ... lavage - BUN/Cr ... #Lower #GIBleed ... #comparison #versus ... #diagnosis #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Unstable (Rule out upper ... #LGIB #GIBleed ... #management #Algorithm ... gastrointestinal #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Minnesota Tubes for Upper ... #Tubes #UGIB #Upper ... #GIBleed #management ... #instructions #gastroenterology
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
specificity for CRC ... CAllamneni via Emory Gastroenterology ... Screening #Tests #comparison ... #table #management ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... • Rescope if bleed ... #NonVariceal #Upper ... #GIBleed #management ... #gastroenterology
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
specificity for CRC ... specificity for CRC ... Indications #Tests #comparison ... #table #management ... #gastroenterology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
TMP-SMX • Active upper ... GI bleed: use IV ... CTX - Can ... SBP #diagnosis #management