11 results
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
fistula Lower: • Bowel ... colitis, Infectious ... colitis, UC/Chrons ... (IBD), Radiation ... #Upper #Lower #GIBleed
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Inflammatory: Ischemic ... colitis, IBO, Infectious ... colitis/proctitis ... #LGIB #GIBleed ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Inflammatory: - Ischemic ... Colitis - IBD ... SCVMCMed #Lower #GIBleed ... Differential #Diagnosis #gastroenterology
Ulcerative Colitis Activity Index

Remission - Mild - Moderate - Severe - Fulminant
Stools/day
Urgency
Hemoglobin
ESR
CRP
Fecal Calprotectin
Endoscopy (Mayo subscore)
UCEIS

@MondayNightIBD

#Ulcerative #Colitis
Ulcerative Colitis ... Activity Index ... Calprotectin Endoscopy ... #diagnosis #gastroenterology ... #IBD
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... immuno-therapy), Ischemic ... (irritable bowel ... #inflammatroy #bowel ... differential #diagnosis #gastroenterology
Ischemic Colitis on Colonoscopy
35yo male, PR bleeding, mucoid stool, tennesmus, abdominal cramping pain, low grade fever,
Ischemic Colitis ... Colitis - Dr ... Fwl Tan #Ischemic ... #endoscopy #gastroenterology ... #clinical
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
colon or small bowel ... • Other: small bowel ... , asymptomatic IBD ... , • Acute colitis ... (ischemia, infectious
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
risks are without endoscopic ... 100% Re-bleeding Ib ... - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Ischemic Colitis on Colonoscopy
80 F with Afib with acute abdominal pain and syncope.
Ischemic colitis (full thickness)
Ischemic Colitis ... Ischemic colitis ... After manual/endoscopic ... #clinical #colon ... #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 ... ) • Vascular: Ischaemia ... #differential #gastroenterology