19 results
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
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... bleeding (LGIB) ... bleed) vs Stable ... #Bleed #LGIB #GIBleed ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Differential Diagnosis ... Anal fissure, Aortoenteric ... #Bleed #LGIB #GIBleed ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Post-Polypectomy Bleeding ... Anal Fissure - Aortoenteric ... #LGIB #Differential ... #Diagnosis #gastroenterology
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 ( ... versus #diagnosis #gastroenterology ... #ugib #lgib
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
of Upper GI Bleeding ... #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
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 ... Prevalence #Stigmata #EGD
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and Classification ... HYPOVOLEMIC 16% • Bleed ... (GIB, RP bleed) ... pancreatitis), GI ... #diagnosis #differential
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Aortoenteric Fistula ... • Should be on differential ... may be herald bleed ... Typical "herald bleed ... patients with massive bleed