15 results
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 ... ± EGD Causes ... of Upper GI Bleed ... Disease • Variceal Bleeding
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... GI bleeding (LGIB ... bleed) vs Stable ... #GI #Bleed #LGIB ... gastrointestinal #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... versus #diagnosis #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... EGD + Colonoscopy ... may obscure bleeding ... #management #gastroenterology ... #table #imaging
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Response Management ... intervention (EGD ... the underlying cause ... #gastroenterology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... out (trauma, GI ... RP bleed) • Hypovolemic ... Classification #diagnosis #management ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... out (trauma, GI ... RP bleed) • Hypovolemic ... Classification #diagnosis #management ... #differential #causes
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
ED Treatment of ... Abnormal Uterine Bleeding ... pregnancy related cause ... Hemodynamically stable ... #Management #Obstetrics
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... esophageal variceal bleed ... from the ulcer caused ... #varices #management ... ebm #evidence #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... banded if the lower ... EGD and the Banding ... #gastroenterology