19 results
Bleeding Diverticulosis on Colonoscopy

Painless large volume lower GIB in man with known diverticulosis on anticoagulation.

Andy Tau,
Bleeding Diverticulosis ... large volume lower GIB ... Diverticulosis #Bleeding ... gastroenterology #LGIB
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Suspected lower GI bleeding ... (LGIB): • Hematochezia ... lesion • Previous LGIB ... Known potential LGIB ... Lower #GI #Bleed #LGIB
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... Active Spurting, Re-bleeding ... enrrikke #Forrest #Classification ... Upper #GIBleed #UGIB
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... hematochezia if the bleeding ... gastroenterology #ugib ... #lgib
Colonoscopy showing a protruding vessel with active bleeding and normal surrounding mucosa suggestive of Dieulafoy's lesion.

#clinical
vessel with active bleeding ... ObscureGIbleed #LGIB
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
symptorns of ongoing bleeding ... unit: exclude an UGIB ... hernodynamically stable ... , no ongoing bleeding ... Lower #GIBleed #LGIB
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Disease • Variceal Bleeding ... Upper #GI #Bleed #UGIB
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Post-Polypectomy Bleeding ... Lower #GIBleed #LGIB
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and Classification ... 16% • Bleed (GIB ... #Shock #Types #Classification
Acute Lower Gastrointestinal Bleeding - Management Algorithm - British Society of Gastroenterology

#Lower #GIBleed #LGIB #algorithm #management
Gastrointestinal Bleeding ... Lower #GIBleed #LGIB