9 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... ± EGD Causes ... Disease • Variceal Bleeding ... Diagnosis #management #Algorithm ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper GI ... Bleeding Acute ... Risk 60-100% Ib ... - Active Oozing ... diagnosis #endoscopy #gastroenterology
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... of GI Bleed Upper ... Infectious colitis, UC ... /Chrons (IBD), Radiation ... #algorithm
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 ... hematochezia if the bleeding ... versus #diagnosis #gastroenterology
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Colitis - Management Algorithm ... placebo • Potential GI ... Budesonide and UC ... Ulcerative #Colitis #UC ... #treatment #IBD
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
• Occult UGI bleeding ... , asymptomatic IBD ... Overt Bleeding ... OUT BRISK Upper GI ... #Causes
Ulcerative Colitis Endoscopic Index of Severity - UCEIS
Vascular pattern
   0 = normal - Normal
vascular pattern Bleeding ... lumen or visible oozing ... Ulcerative #Colitis #UC ... severity #diagnosis #gastroenterology ... #scoring #ibd
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI ... Bleeding - Scoping ... GBS, high sens. ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm
Pyloric Stenosis
 • Most common b/w 2 wks - 2 months 
 • Projectile, non-bilious vomiting
immediately after feeding ... Peristaltic waves moving ... ultrasound, upper GI ... Pyloric stenosis can cause ... ultrasound or an upper GI