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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
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... - A "positive" gastric ... Lower GI Bleed ( ... supporting feature: Blood
Algorithm for Diagnosis of Acute Gastrointestinal Bleeding
 • Endoscopy
 • Colonoscopy
 • CT Angiogram
 • Catheter
Gastrointestinal Bleeding ... Endoscopy • Colonoscopy ... Gastrointestinal #Bleeding ... #GIBleed #GI #bleed ... #gastroenterology
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... #Gastric #Ulcers
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
-Used to stop bleeding ... in Upper GI bleed ... junction to reduce blood ... does not stop bleeding ... MinnesotaTube #UpperGI #GIBleed
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI ... Bleeds Minnesota ... and esophageal bleeding ... #UGIB #Upper #GIBleed ... #instructions #gastroenterology
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... Hematemesis/Melena - Blood ... - Exclude bleeding ... Disease (55%): - Gastric ... Diagnosis #Algorithm #Causes
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Bleed (Other than ... EGD + Colonoscopy ... non-therapeutic, massive bleed ... may obscure bleeding ... #Bleed #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 ... #gastroenterology
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 ... if indicated, blood ... for unprepped colonoscopy ... #Lower #GIBleed