6 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
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 ... ± EGD Causes ... of Upper GI Bleed ... Disease • Variceal Bleeding
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... versus #diagnosis #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... , asymptomatic IBD ... Overt Bleeding ... OUT BRISK Upper GI ... #Causes
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
the varix that bled ... banded if the lower ... EGD and the Banding ... varix upon scoping ... Tricks #management #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
and incomplete lower ... • Failure of lower ... sphincter to relax EGD ... leading to myenteric ... management #treatment #gastroenterology