20 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 ... Consult GI ± EGD Causes ... of Upper GI Bleed ... #UGIB #GIBleed
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Suspected lower GI bleeding ... Rule out upper GI bleed ... #Lower #GI #Bleed ... #LGIB #GIBleed
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Forrest Classification ... for Describing Endoscopic ...  Ia  Spurting bleed ... liquid  Ib  Oozing bleed ... #Endoscopy #EGD
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... #Forrest #Classification
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Upper GI Bleed ... Lower GI Bleed ( ... #Upper #Lower #GIBleed ... #lgib
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) ... Cold and Dry #Shock
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... enrrikke #Forrest #Classification ... #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology
Algorithm for Diagnosis of Acute Gastrointestinal Bleeding
 • Endoscopy
 • Colonoscopy
 • CT Angiogram
 • Catheter
Algorithm for Diagnosis ... Gastrointestinal Bleeding ... • Endoscopy ... LouLectures #Algorithm ... #GIBleed #GI #bleed
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Retroperitoneal bleed ... exacerbation (any cause ... Differential #Diagnosis #Classification
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... If peptic ulcer bleeding ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... gastroenterology #UGIB