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Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Gastrointestinal Bleeding ... Diagnosis #Management #EM ... #GI #Bleed #UpperGI ... #Differential #Algorithm
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 of Upper ... Disease • Variceal Bleeding ... MatthewHoMD #Upper
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... bleeding (LGIB) ... Melena + right colon ... Unstable (Rule out upper ... GIBleed #management #Algorithm
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Distinguishing Upper ... Lower GI Bleeding ... Upper GI Bleed ... intestines or ascending colon ... EricsMedicalLectures/ #Upper
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... GI Bleeding Acute ... Active Spurting, Re-bleeding ... Risk 60-100% Ib ... Classification #Upper
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Upper: • Esophagus ... colitis, UC/Chrons (IBD ... Residency @CMC_IM #Upper
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Angiodysplasia (colon ... , asymptomatic IBD ... Overt Bleeding ... RULE OUT BRISK Upper ... GI bleed, Diverticular
Algorithm for the Evaluation of Dysphagia:Oropharyngeal:
- Characterized by difficulty initiating swallowing and accompanied by choking/coughing, nasopharyngeal
Algorithm for the ... muscle (release upper ... #Differential #EM ... #GI #Dysphagia ... #Extraluminal #Algorithm
Complications of Acute Pancreatitis
Systemic
 - Systemic inflammatory response syndrome (SIRS)
 - Hypoxia
 - Hyperglycaemia
 - Hypocalcaemia
pleural effusion Upper ... GI bleeding - ... - Erosion into colon
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
epistaxis, gingival bleeding ... esophagitis, gastritis, IBD ... Denatured from upper ... Massachusetts GI