18 results
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... should receive endoscopic ... #Diagnosis #Gastroenterology ... Stigmata #EGD #Endoscopy
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... fistula Lower: • Bowel ... sarcoma, Mesenteric ischemia ... Inflammatory: Ischemic ... colitis, UC/Chrons (IBD
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% Ib ... UGIB #diagnosis #endoscopy ... #gastroenterology
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... Acute bleeding in ... #Upper #Endoscopy ... #EGD #gastroenterology ... #clinical
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
are without endoscopic ... Ib - Oozing Bleed ... - 50% Re-bleeding ... Risks #Grading #gastroenterology ... #EGD #clinical
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
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
, asymptomatic IBD ... Overt Bleeding ... RULE OUT BRISK Upper ... GI bleed, Diverticular ... Acute colitis (ischemia
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... double-balloon endoscopy ... bleed may obscure bleeding ... MatthewHoMD #GI ... GIBleed #management #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Family history of IBD ... Consider tumor • Upper ... Diverticulitis • IBD ... • GI malignancy ... Differential #Diagnosis #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... If peptic ulcer bleeding ... #NonVariceal #Upper ... GIBleed #management #gastroenterology