13 results
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
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 of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
GI Bleeding Acute ... Risk 60-100% Ib ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
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
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Prokinetics dec. repeat EGD ... Infusion = 40mg IV BID ... • Start with EGD ... NonVariceal #UpperGI #Bleeding
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... Bleed (Other than EGD ... bleed may obscure bleeding ... MatthewHoMD #GI ... GIBleed #management #gastroenterology
Reversible Acute Mesenteric Ischemia - A computed tomographic scan showed jejunal dilatation and thinning of the
thinning of the bowel ... Endoscopic examination ... mucosal healing #Clinical ... #Radiology #GI ... #EGD #CT #NEJM
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
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
bleeding - EUS-FNA ... cardiac devices (ICD ... solid lesions (upper ... #EGD #Indications ... #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