13 results
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
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Unstable (Rule out upper ... GI bleed) vs Stable ... #management #Algorithm
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... #Upper #GIBleed ... #UGIB #diagnosis ... gastroenterology #egd
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
Denatured from upper ... GIB • Does not ... to unnecessary testing ... , extended LOS ... Massachusetts GI
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Anorexia GI ... type 4) - Salt wasting ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Hypovolemic Shock - Low ... bleeding out (trauma, GI ... • Hypovolemic: GI ... EmmGeezee #Shock #Classification ... differential #causes #classification
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Mechanism Decreased GI ... Familial renal Mg wasting ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Hypovolemic Shock - Low ... bleeding out (trauma, GI ... • Hypovolemic: GI ... EmmGeezee #Shock #Classification ... differential #causes #classification
Helicobacter Pylori Testing  Methods - Sensitivity and Specificity

Serology - 85% - 79% - Does not
Helicobacter Pylori Testing ... if prevalence low ... need endoscopy EGD ... dyspepsia, FHx of GI ... or odynophagia, GIB
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
Algorithm for the ... with acute Lower GI ... Low-risk patients ... hernodynamically stable ... Lower #GIBleed #LGIB