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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 ... of Upper GI Bleed ... #GI #Bleed #UGIB ... #GIBleed #Differential
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Unstable (Rule out upper ... GI bleed) vs Stable ... #Bleed #LGIB #GIBleed ... #gastrointestinal
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 Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Upper Gastronintestinal ... Bleed - Differential ... Disease (55%): - Gastric ... #Differential # ... Diagnosis #Algorithm #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 ... - A "positive" gastric ... Lower GI Bleed (
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... #Lower #GIBleed ... #differential # ... diagnosis #Causes
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
Aspiration Port -Gastric ... stop bleeding in Upper ... GI bleed due to ... #Management #MinnesotaTube ... #UpperGI #GIBleed
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Minnesota Tubes for Upper ... GI Bleeds Minnesota ... is a four-lumen gastric ... #Tubes #UGIB #Upper ... #GIBleed #management
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Trauma • GI ... Retroperitoneal bleed ... exacerbation (any cause
Overall Approach to Anemia - Differential Diagnosis Algorithm

Blood Loss
 • Acute Bleed - Normocytic / Normochromic
Loss • Acute Bleed ... Smear • Chronic Bleed ... Non-lmmune #Anemia #Classification ... Diagnosis #Algorithm #Causes ... #Hematology