7546 results
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
#GI #LGIB #Hematochezia #Diverticulosis #Crohn #UC #Mesenteric #Ischemia #AVM
#GI #LGIB #Hematochezia
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
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Four rib fractures ... each additional rib ... with multiple rib ... Chest #Breathing #PhysicalExam ... #clinical #video
Differential Diagnosis and Incidence of Lower GI Bleeds

#Differential #Diagnosis #Incidence #Lower #GIBleed #LGIB
Incidence of Lower GI ... Lower #GIBleed #LGIB
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
16% • Bleed (GIB ... pancreatitis), GI
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Algorithm Upper GI ... Disease Consult GI ... Causes of Upper GI ... #Bleed #UGIB #GIBleed
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Four rib fractures ... each additional rib ... with multiple rib ... Chest #Breathing #PhysicalExam ... #clinical #video
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
Major Clinical Trials ... Thresholds in Critical ... - NEJM 2013 - UGIB ... septic, surgical, GIB
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
contract, raising the rib ... Breathing #Diaphragm #Clinical ... #Video #PhysicalExam