GI Bleed gastroenterology colonoscopy clinical gibleed management criticalcare diagnosis shock classification table

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Shock Types and Classification
DISTRIBUTIVE 66%
• Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
• Warm

HYPOVOLEMIC 16% • Bleed ... (GIB, RP bleed) ... pancreatitis), GI ... #diagnosis #differential ... #criticalcare

Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
- Hemorrhagic
• Trauma

Diagnosis by Classification ... Trauma • GI ... Retroperitoneal bleed ... #Classification ... #Table #CriticalCare

Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
• Able to

Bleed (Other than ... EGD + Colonoscopy ... non-therapeutic, massive bleed ... #Bleed #GIBleed ... #management #gastroenterology

GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,

GI Bleed - Rapid ... Stabilize: • Bleed ... from above • Bleed ... #gastroenterology ... #Management #criticalcare

Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting

death Common Clinical ... RP bleed) • Hypovolemic ... #Classification ... #diagnosis #management ... #Overview #criticalcare

Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a

with acute Lower GI ... Bleed High-risk ... for unprepped colonoscopy ... hernodynamically stable ... #Lower #GIBleed

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