12 results
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Evaluation and Management ... of Gastrointestinal ... 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 - ... Management Algorithm ... Upper GI bleed ... #Differential # ... #Algorithm #gastrointestinal
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... Gastronintestinal ... Bleed - Differential ... Stool + Occult blood ... OUT BRISK Upper GI
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... , Severe Valve Disease ... • Hypovolemic: Blood ... Loss, GI Losses ... #management
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
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Diagnosis and Management ... the upper and lower ... detectable by blood ... • Treatment: ... of cardiac or gastrointestinal
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
presenting with acute Lower ... GI Bleed High-risk ... serious comorbid disease ... if indicated, blood ... #Lower #GIBleed
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
the upper and lower ... Affects the skin and gastrointestinal ... neuropathy - GI ... pulses, bruis, or blood ... Large Vessel: Blood
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... pulses, bruits, or blood ... mononeuritis multiplex • GI ... the upper and lower ... Palpable purpura (lower
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
ascitic fluid in blood ... • Active upper GI ... bleed: use IV CTX ... advanced liver disease ... #prophylaxis #treatment