13 results
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Suspected lower ... GI bleeding (LGIB ... Unstable (Rule out 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 ... Aortoenteric fistula Lower ... #Lower #GIBleed
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 ... of Upper GI Bleed ... MatthewHoMD #Upper
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 ... Lower GI Bleed ( ... #Lower #GIBleed
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... Angiodysplasia (colon ... , asymptomatic IBD ... RULE OUT BRISK Upper ... #Causes
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
urine can induce color ... hematuria + clots ➔ Lower ... Ureter/Bladder (Upper ... and Lower urinary ... Pseudohematuria: • GI
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... presenting with acute lower ... outpatient; UGI, upper ... #Management #algorithm ... #lower #GIBleeding
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
Hematochezia is due to a lower ... due to a massive upper ... Hematochezia due to an upper ... start with an upper ... endoscopy to exclude upper
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Family history of IBD ... Consider tumor • Upper ... • Lower quadrant ... Lymphoma/Leukemia Lower ... mesenteric ischemia • GI
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
bleeding - EUS-FNA ... cardiac devices (ICD ... solid lesions (upper ... or lower GI tract ... Gastroenterology #Management