14 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
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... Classification #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 ... should receive endoscopic ... Prevalence #Stigmata #EGD ... #Endoscopy
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Suspected lower GI bleeding ... Unstable (Rule out upper ... #LGIB #GIBleed ... #management #Algorithm
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... Upper GI Bleed ... hematochezia if the bleeding ... #lgib
Bleeding Dieulafoy's Lesion within the duodenum - Resolved with Clip

Carlos Zavaleta MD FACS @CMZavaletaMD

#Dieulafoys #Lesion #GIBleed
Bleeding Dieulafoy's ... Lesion within the duodenum ... Dieulafoys #Lesion #GIBleed ... #duodenum #Clipping ... #EGD #Endoscopy
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Upper endoscopy revealed a pigmented mass in the duodenal bulb (Panel A) and two additional masses
Upper endoscopy ... pigmented mass in the duodenal ... two additional masses ... portions of the duodenum ... #EGD #Metastatic
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... Dieulafoy lesion • Duodenum ... #Lower #GIBleed ... differential #diagnosis #Causes ... #algorithm
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... #NonVariceal #Upper ... #GIBleed #management ... gastroenterology #UGIB
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Prokinetics dec. repeat EGD ... • Start with EGD ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm