12 results
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
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Unstable (Rule out upper ... GI bleed) vs Stable ... #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 ... Lower GI Bleed ( ... EricsMedicalLectures/ #Upper
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Stool + Occult blood ... , asymptomatic IBD ... RULE OUT BRISK Upper ... GI bleed, Diverticular ... #Causes
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 ... Residency @CMC_IM #Upper ... #algorithm
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
-Used to stop bleeding ... in Upper GI bleed ... junction to reduce blood ... #Management #MinnesotaTube ... #UpperGI #GIBleed
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Upper Gastronintestinal ... Bleed - Differential ... Hematemesis/Melena - Blood ... - Exclude bleeding ... #Causes
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
urine • 1ml blood ... urine can induce color ... Ureter/Bladder (Upper ... Pseudohematuria: • GI ... bleed • Menstruation
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... • Restrictive blood ... • Rescope if bleed ... #NonVariceal #Upper
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
epistaxis, gingival bleeding ... esophagitis, gastritis, IBD ... Denatured from upper ... Does not change management ... Massachusetts GI