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

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... of Upper GI Bleed ... #GI #Bleed #UGIB ... #Diagnosis #management
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 ( ... #gastroenterology ... #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
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
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
• Papillary necrosis ... Ureter/Bladder (Upper ... Pseudohematuria: • GI ... bleed • Menstruation ... #Diagnosis #causes
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
resolve rapidly when blood ... GIB with hematemesis ... melena - Other GI ... #diagnosis #management ... #gastroenterology