38 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Consult GI ± EGD Causes ... of Upper GI Bleed ... #GI #Bleed #UGIB ... #GIBleed #Differential
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Distinguishing Upper ... Lower GI Bleeding Upper ... #Lower #GIBleed ... #lgib
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Upper: • Esophagus ... #Lower #GIBleed ... differential #diagnosis #Causes
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... enrrikke #Forrest #Classification ... #Upper #GIBleed ... #UGIB #diagnosis
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) ... pancreatitis), GI losses ... #Shock #Types #Classification
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
glomerulopathies • Causes ... Urethra/Prostate Causes ... Ureter/Bladder (Upper ... urinary tract) Causes ... #urology #nephrology
Lupus Nephritis Primer
Class I - Minimal Mesangial
Class II - Mesangial Proliferative
Class Ill - Focal Proliferative
Class IV
Nephritis Primer Class ... Proliferative Class ... Nephritis #SLE #Classification ... #Classes #differential ... diagnosis #management #nephrology
Black and Bloody Stools - Melena and Hematochezia
Melena - Refers to passage of black, tarry (sticky
result from other causes ... Upper gastrointestinal ... hemorrhage may also cause ... #Differential #Causes ... #GIBleed
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... Erb's Palsy is caused ... damage to the upper ... Tunnel Syndrome - Causes ... Myotomes #diagnosis #neurology
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
RBC casts in urine ... but in severe cases ... Nephrotic #Syndromes #Classification ... #Proteinuria #Nephrology