15 results
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... GI bleeding (LGIB ... Unstable (Rule out upper ... GI bleed) vs Stable ... #GI #Bleed #LGIB
Lower GI Bleeding - Scoping Summary
 • Hematochezia
 • History and Physical
 • LGI Bleeding and
Lower GI Bleeding ... and Physical • LGI ... Stratification in GI ... #Summary #Endoscopy ... diagnosis #management #algorithm
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... hematochezia if the bleeding ... Lower GI Bleed ( ... #lgib
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... Disease • Variceal Bleeding ... #GI #Bleed #UGIB
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... GI Bleeding Acute ... Classification #Upper ... #GIBleed #UGIB ... #diagnosis #endoscopy
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
Fecal Occult Blood Testing ... epistaxis, gingival bleeding ... Denatured from upper ... GIB • Does not ... Massachusetts GI
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
Algorithm for the ... presenting with acute Lower ... GI Bleed High-risk ... hernodynamically stable ... #LGIB #Algorithm
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... If peptic ulcer bleeding ... #NonVariceal #Upper ... gastroenterology #UGIB
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... bleeding - EUS-FNA ... solid lesions (upper ... or lower GI tract ... #Prophylaxis #Endoscopy
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... Scoping Summary Pre-Endoscopic ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm