11 results
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
of Upper GI Bleeding ... Oozing, Re-bleeding ... Classification #Upper ... diagnosis #endoscopy #gastroenterology ... #egd
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
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 ... Consult GI ± EGD ... Causes of Upper ... MatthewHoMD #Upper
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... Prevalence #Stigmata #EGD
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Forrest Classification ... PPI - Diet I Active ... Ia  Spurting bleed ... Clear liquid  Ib  Oozing ... Classification #Endoscopy #EGD
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... Acute bleeding in ... RodriguezParra_ #active ... #Upper #Endoscopy ... #EGD #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Suspected lower GI bleeding ... Unstable (Rule out upper ... GIBleed #management #Algorithm ... gastrointestinal #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
the varix that bled ... in the mid or upper ... EGD and the Banding ... upon scoping for ... Tricks #management #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
in Non-Variceal Upper ... GI Bleeding - Scoping ... protection/AMS/active ... • Start with EGD ... diagnosis #management #algorithm
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
WBC x PMN %) • Correct ... or TMP-SMX • Active ... upper GI bleed: ... not) - ↓ rebleeding