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gastroenterology management diagnosis ugib lower bleed differential egd endoscopy gastrointestinal bacterial causes classification comparison forrest gastronintestinal indications lowergibleed nonvariceal occult
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... units) • Notable risk ... Lower GI Bleed ( ... #lgib
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 ... Disease • Variceal Bleeding ... #GI #Bleed #UGIB ... #GIBleed #Differential
Lower GI Bleed - Management Algorithm Suspected lower GI bleeding (LGIB): • Hematochezia • Melena +
Lower GI Bleed - ... bleeding (LGIB) ... Unstable (Rule out upper ... GI bleed) vs Stable ... #Bleed #LGIB #GIBleed
Forrest Classification of Upper GI Bleeding Acute Hemorrhage Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... GI Bleeding Acute ... Risk 60-100% ... Classification #Upper ... #GIBleed #UGIB
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 ... Bleed High-risk ... #Lower #GIBleed ... #LGIB #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... bleeding - EUS-FNA ... solid lesions (upper ... infection and high risk ... #Prophylaxis #Endoscopy
Acute Non-Variceal Upper GI Bleeding Pre-Endoscopy Management: • Hemodynamic resuscitation • No routine NG tube • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... routine NG tube • Risk ... #GIBleed #management ... gastroenterology #UGIB
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
improved outcomes 1) Antibiotics ... fluid opsonins Prophylaxis ... TMP-SMX • Active upper ... GI bleed: use IV ... not) - ↓ rebleeding
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... • Occult UGI bleeding ... asymptomatic IBD Overt Bleeding ... Patient • RULE OUT BRISK ... Upper GI bleed,
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