12 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 ... GI Bleed: • Peptic ... #GI #Bleed #UGIB ... #Diagnosis #management
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... should receive endoscopic ... #Diagnosis #Gastroenterology ... Stigmata #EGD #Endoscopy
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... bleeding (LGIB) ... Unstable (Rule out upper ... GI bleed) vs Stable ... #Bleed #LGIB #GIBleed
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology
Algorithm for Diagnosis of Acute Gastrointestinal Bleeding
 • Endoscopy
 • Colonoscopy
 • CT Angiogram
 • Catheter
Algorithm for Diagnosis ... Gastrointestinal Bleeding ... • Endoscopy ... #GIBleed #GI #bleed ... #gastroenterology
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
HYPOVOLEMIC 16% • Bleed ... (GIB, RP bleed) ... pancreatitis), GI ... #diagnosis #differential ... #criticalcare
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 ... #gastroenterology
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Trauma • GI ... Retroperitoneal bleed ... #Classification ... #Table #CriticalCare
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Bleed (Other than ... non-therapeutic, massive bleed ... may obscure bleeding ... #Bleed #GIBleed ... #management #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... • Rescope if bleed ... #NonVariceal #Upper ... #gastroenterology