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Management Algorithm for Suspected Upper GI Bleed (UGIB)

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Upper
Management Algorithm ... for Suspected Upper ... GI Bleed (UGIB) ... EricsMedicalLectures/ #Upper ... #GIBleed #UGIB
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 ... ± EGD Causes ... of Upper GI Bleed ... #GI #Bleed #UGIB
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... bleeding (LGIB) ... Known potential LGIB ... Unstable (Rule out upper ... #Bleed #LGIB #GIBleed
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Upper GI Bleed ... Lower GI Bleed ( ... #Lower #GIBleed ... gastroenterology #ugib ... #lgib
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
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
Algorithm for the ... with acute Lower GI ... unit: exclude an UGIB ... #Lower #GIBleed ... #LGIB #Algorithm
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and Classification ... (GIB, RP bleed) ... pancreatitis), GI ... losses, overdiuresis ... #Shock #Types #Classification
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... #Lower #GIBleed ... differential #diagnosis #Causes ... #algorithm
Blood Filled Stomach in Upper GI Bleed on POCUS

With hypotension and an UGIB, it always helps
Blood Filled Stomach ... in Upper GI Bleed ... hypotension and an UGIB ... confirm if it is blood ... pocus #Stomach #UGIBleed
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Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... • Restrictive blood ... #GIBleed #management ... gastroenterology #UGIB