10 results
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper: • Esophagus ... sarcoma, Mesenteric ischemia ... Inflammatory: Ischemic ... colitis, UC/Chrons (IBD ... #GIBleed #differential
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Inflammatory: Ischemic ... colitis, IBO, Infectious ... #GIBleed #Differential ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Inflammatory: - Ischemic ... Colitis - IBD ... #GIBleed #LGIB ... Differential #Diagnosis #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Risk 60-100% Ib ... Classification #Upper #GIBleed ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Necrosis Etiology: - Ischemia ... restored to esophagus ... Diagnosis: - EGD ... Treatment: - Treatment ... diagnosis #management #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
and incomplete lower ... • Failure of lower ... sphincter to relax EGD ... , or endoscopic ... #gastroenterology
Clear Cap Tamponade of Bleeding on Endoscopy
Clear Cap Crowd Control : stop active bleeding using tamponade
of Bleeding on Endoscopy ... torrential focal bleed ... tight space like esophagus ... #clinical #EGD ... #gastroenterology
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... requires clinical and endoscopic ... Eosinophilic, CVID, Hyper IgD ... ) • Vascular: Ischaemia ... #differential #gastroenterology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
type Response to treatment ... suggestive of end ... myotomy has much lower ... LES since the esophagus ... Types #radiology #gastroenterology