11 results
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Melena + right colon ... #LGIB #GIBleed ... #management #Algorithm ... gastrointestinal #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... #UGIB #GIBleed ... #Differential #Diagnosis ... #management #Algorithm ... gastrointestinal #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
lavage - BUN/Cr ... intestines or ascending colon ... #Upper #Lower #GIBleed ... #comparison #versus ... #diagnosis #gastroenterology
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
lesions or SSLs • Colon ... Colorectal #Cancer #colon ... Screening #Tests #comparison ... #table #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
lesions or SSLs • Colon ... Colorectal #Cancer #colon ... Indications #Tests #comparison ... #table #management ... #gastroenterology
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
Juvenile Polyps + CRC ... 95%, throughout colon ... Likely risk of CRC ... Syndromes #diagnosis #management ... #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... • Should be on differential ... Management: SURGERY ... - CMC IM Residency ... Fistula #Diagnosis #Management
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Response Management ... intervention (EGD/Colo ... Gastrointestinal #gastroenterology ... #Management #criticalcare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Marantic (NTBE) Differential ... Criteria • ↑ ESR, CRP ... Regurgitation • Colon ... Endocarditis #diagnosis #management
Colorectal Cancer screening in ulcerative colitis per new UC guidelines
- Colonoscopy is the recommended method for
Colorectal #Cancer #CRC ... #Colon #Screening ... #PrimaryCare #Gastroenterology ... #Management #Colonoscopy