14 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... GI bleed Suspected ... of Upper GI Bleed ... #GI #Bleed #UGIB ... #GIBleed #Differential
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Upper GI Bleed ... Lower GI Bleed ( ... supporting feature: Blood ... #Lower #GIBleed ... versus #diagnosis #gastroenterology
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
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Trauma • GI ... Retroperitoneal bleed ... exacerbation (any cause ... obstruction to blood
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
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Upper Gastronintestinal ... Bleed - Differential ... Hematemesis/Melena - Blood ... Gastronintestinal #Differential ... Diagnosis #Algorithm #Causes
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Gastronintestinal Bleed ... Stool + Occult blood ... RULE OUT BRISK Upper ... GI bleed, Diverticular ... bleed, • Acute
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... urine • 1ml blood ... Ureter/Bladder (Upper ... Pseudohematuria: • GI ... bleed • Menstruation
Blood Filled Stomach in Upper GI Bleed on POCUS

With hypotension and an UGIB, it always helps
Blood Filled Stomach ... in Upper GI Bleed ... confirm if it is blood ... pocus #Stomach #UGIBleed ... #clinical #ultrasound
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... • Restrictive blood ... • Rescope if bleed ... #gastroenterology