10 results
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... should receive endoscopic ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
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 ... ± EGD Causes ... of Upper GI Bleed ... #GI #Bleed #UGIB
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... fistula Lower: • Bowel ... Inflammatory: Ischemic ... colitis, UC/Chrons (IBD ... diagnosis #Causes #algorithm
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #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
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 ... colitis (ischemia
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... EGD + Colonoscopy ... may obscure bleeding ... MatthewHoMD #GI ... #management #gastroenterology
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 ... diagnosis #management #algorithm
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
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... this requires clinical ... and endoscopic ... Eosinophilic, CVID, Hyper IgD ... ) • Vascular: Ischaemia