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Management Algorithm for Suspected Upper GI Bleed (UGIB)

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Upper
Management Algorithm ... for Suspected Upper ... GI Bleed (UGIB) ... #GIBleed #UGIB ... #Algorithm #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... of Upper GI Bleed ... #GI #Bleed #UGIB
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... GI bleed) vs Stable ... #Bleed #LGIB #GIBleed ... #management #Algorithm
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... #Lower #GIBleed ... #ugib #lgib
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
GI Bleeding Pre-Endoscopy ... • Restrictive blood ... • Rescope if bleed ... #GIBleed #management ... #UGIB
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 ... unit: exclude an UGIB ... #Lower #GIBleed ... #LGIB #Algorithm
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Stabilize: • Bleed ... from above • Bleed ... NatalieRosen_MD #GI ... #Bleed #GIB #Gastrointestinal
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Gastronintestinal Bleed ... Stool + Occult blood ... GI bleed, Diverticular ... bleed, • Acute ... #Causes
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
mucosa Stricture Management ... sections of the GI ... laceration in upper ... EUS procedures GI ... #colonoscopy #accessories