9 results
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Post-Polypectomy Bleeding ... Inflammatory: - Ischemic ... Colitis - IBD ... Differential #Diagnosis #gastroenterology
Ischemic Colitis on Colonoscopy
35yo male, PR bleeding, mucoid stool, tennesmus, abdominal cramping pain, low grade fever,
Ischemic Colitis ... 35yo male, PR bleeding ... consistent with Ischemic ... Fwl Tan #Ischemic ... #clinical
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Family history of IBD ... Chronic mesenteric ischemia ... • GI malignancy ... • Mesenteric ischemia ... Differential #Diagnosis #gastroenterology
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
diagnosis of IBD ... this requires clinical ... and endoscopic ... ) • Vascular: Ischaemia ... #differential #gastroenterology
Reversible Acute Mesenteric Ischemia - A computed tomographic scan showed jejunal dilatation and thinning of the
Acute Mesenteric Ischemia ... thinning of the bowel ... acute mesenteric ischemia ... #Radiology #GI ... MesentericIschemia #Mesenteric #Ischemia
Clinical manifestations of anaphylaxis. 
Neurological (<15%): Dizziness, syncope, seizures, Confusion, impending doom. headache
Angioedema: Lips, tongue, orbit,
Clinical manifestations ... 50%): Myocardial ischemia ... respiratory arrest GI ... intestinal edema, abdominal ... cramps, vaginal bleeding
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
• Occult UGI bleeding ... , asymptomatic IBD ... Overt Bleeding ... OUT BRISK Upper GI ... Acute colitis (ischemia
Ischemic Colitis on Colonoscopy
80 F with Afib with acute abdominal pain and syncope.
Ischemic colitis (full thickness)
Ischemic Colitis ... Afib with acute abdominal ... Ischemic colitis ... After manual/endoscopic ... DrBloodandGuts #Ischemic
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Change in clinical ... risk (<1%): - Endoscopic ... - what is the bleeding ... undergoing AAA or upper abdominal