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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 - ... bleed Suspected ... ± EGD Causes ... of Upper GI Bleed ... #Bleed #UGIB #GIBleed
GI Bleed - Rapid Response Management 1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Stabilize: • Bleed ... from above • Bleed ... the underlying cause ... NatalieRosen_MD #GI
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
excretory pathway (GI ... although hepatic causes ... namely, the many causes ... AML - Large GI ... bleed - Significant
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... of GI Bleed Upper ... differential #diagnosis #Causes
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Trauma • GI ... Retroperitoneal bleed ... exacerbation (any cause
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
Gastronintestinal Bleed ... OUT BRISK Upper GI ... bleed, Diverticular ... bleed, • Acute ... Diagnosis #Algorithm #Causes
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... Burns, Steroids], GI ... Bleed) • NaCl ... Diagnosis #Algorithm #Causes
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
disease Renal Causes ... and SMA - Can cause ... urinary tract) Causes ... Pseudohematuria: • GI ... bleed • Menstruation
Hemoptysis - Differential Diagnosis Framework Massive Hemoptysis: >150-300 mL in 24h Airway disease: • Bronchitis, Bronchiectasis, Malignancy
Bevacizumab Mimics: • GI ... bleed: esophageal ... Diagnosis #pulmonary #causes
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
bleeding out (trauma, GI ... RP bleed) • Hypovolemic ... : GI (vomiting/diarrhea ... #differential #causes
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