14 results
Bleeding Diverticulosis on Colonoscopy

Painless large volume lower GIB in man with known diverticulosis on anticoagulation.

Andy Tau,
Diverticulosis on Colonoscopy ... Andy Tau, MD @DrBloodandGuts ... Diverticulosis #Bleeding #Colonoscopy ... #clinical #gastroenterology ... #LGIB
Modified Johnson Classification for Gastric Ulcers
Type I - Gastric body, lesser curvature
Type II - Body of
Ulcers Type I - ... Gastric body, lesser ... #Ulcers #Johnson ... Classification #diagnosis ... #gastroenterology
Colonoscopy showing a protruding vessel with active bleeding and normal surrounding mucosa suggestive of Dieulafoy's lesion.

#clinical
Colonoscopy showing ... #clinical #diagnosis ... #Gastroenterology ... ObscureGIbleed #LGIB
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
- Differential Diagnosis ... Colonic and Rectal Ulcers ... Lower #GIBleed #LGIB ... #Differential #Diagnosis ... #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
- A "positive" gastric ... comparison #versus #diagnosis ... #gastroenterology ... #ugib #lgib
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
- Differential Diagnosis ... Colonic and rectal ulcer ... Lower #GI #Bleed #LGIB ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
#Diagnosis #Gastroenterology ... UpperGI #Rebleeding #Gastric ... #Ulcers #Prevalence
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Bleed: • Peptic Ulcer ... Upper #GI #Bleed #UGIB ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
- Flat Spot in Ulcer ... III Clean-Based Ulcer ... Upper #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
- Ischemia and Gastric ... present with upper GIB ... retrosternal chest pain Diagnosis ... Esophageal #Necrosis #diagnosis ... #management #gastroenterology