414 results
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
16% • Bleed (GIB ... pancreatitis), GI
Multiple Uses for Tranexamic Acid (TXA) - Evidence Based Indications and Dosing

Trauma < 3 hrs •
ICH NO PPH +/- GIB
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
appropriate for GIB ... Denatured from upper GIB ... Massachusetts GI
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
- NEJM 2013 - UGIB ... septic, surgical, GIB
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
MELD - Prior GI ... shock, sepsis, GIB
Bleeding Diverticulosis on Colonoscopy

Painless large volume lower GIB in man with known diverticulosis on anticoagulation.

Andy Tau,
large volume lower GIB ... gastroenterology #LGIB
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper GI ... Risk 60-100% Ib ... Risk 40-50% IIb ... Upper #GIBleed #UGIB
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
trauma, surgical, GIB
Colonic Kaposi Sarcoma in advanced HIV/AIDS patient with lower GIB. Lifted with epinephrine for pox bleeding.

-
patient with lower GIB
Helicobacter Pylori Testing  Methods - Sensitivity and Specificity

Serology - 85% - 79% - Does not
dyspepsia, FHx of GI ... or odynophagia, GIB