31 results
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Evaluation and Management ... Bleeding #Diagnosis #Management ... #EM #GI #Bleed ... Resuscitation #Differential
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 GI Bleed ... #Differential #
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... CMC_IM #Upper #Lower ... #GIBleed #differential ... #diagnosis #Causes
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... supporting feature: Blood
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... urine • 1ml blood ... hematuria + clots ➔ Lower ... Pseudohematuria: • GI ... bleed • Menstruation
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Trauma • GI ... Retroperitoneal bleed ... exacerbation (any cause ... obstruction to blood
Causes of Iron Deficiency
 • Inadequate Intake: Vegetarian/vegan diet, Malnutrition
 • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Pregnancy, EPO treatment ... athletes • Chronic Blood ... without anaemia): GI ... Iron #Deficiency #differential
Hyperviscosity Syndrome - Causes and Treatment

 - Waldenstrom macroglobulinemia (most common) / Plasmapheresis 
 - Multiple
Hyperviscosity Syndrome - Causes ... and Treatment ... - MH/CCF/CWRU EM ... #Differential # ... #Management
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... - Differential ... Stool + Occult blood ... OUT BRISK Upper GI ... Diagnosis #Algorithm #Causes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Hypovolemic: Blood ... Loss, GI Losses ... Dehydration Shock Treatment ... #management