46 results
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Suspected lower GI ... bleeding (LGIB) ... Rule out upper GI ... bleed) vs Stable
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Mechanism Decreased GI ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Differential Diagnosis of Jaundice, Presentation Pattern #Diagnosis #EM #IM #GI #Jaundice #Pattern #LFTs #Workup #Table #Differential
Diagnosis #EM #IM #GI ... Pattern #LFTs #Workup ... #Table #Differential
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and Classification ... 16% • Bleed (GIB ... pancreatitis), GI ... #Shock #Types #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Differential Diagnosis by Classification ... Trauma • GI ... obstruction to blood flow ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Anorexia GI ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... • High CO / Low ... Cardiogenic: • Low ... • Blood Loss, GI ... Sophia_Hayes_MD #Shock #Classification
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... enrrikke #Forrest #Classification ... Upper #GIBleed #UGIB
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Framework and Workup ... hyperchloremia - GI ... • Serum K: low ... GI Loss of HCO3 ... Differential #Diagnosis #Workup
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... FEPO4 < 5%: • GI ... • Normal or Low ... - Normal or Low ... Diagnosis #Framework #Workup