13 results
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
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Distinguishing Upper ... supporting feature: Blood ... #comparison #versus ... gastroenterology #ugib ... #lgib
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... #GI #Bleed #UGIB ... #GIBleed #Differential
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
lower GI bleeding (LGIB ... lesion • Previous LGIB ... Known potential LGIB ... Unstable (Rule out upper ... #LGIB #GIBleed
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Differential Diagnosis ... Algorithm • ... #LGIB #GIBleed ... #Differential #Diagnosis ... #Algorithm #gastrointestinal
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 ... if indicated, blood ... 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 ... HYPOVOLEMIC 16% • Bleed ... (GIB, RP bleed) ... #Shock #Types #Classification ... #diagnosis #differential
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 ... • Restrictive blood ... #NonVariceal #Upper ... #GIBleed #management ... gastroenterology #UGIB