8 results
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 ... MatthewHoMD #Upper ... #GI #Bleed #UGIB
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Gastrointestinal Bleeding ... Diagnosis #Management #EM ... #GI #Bleed #UpperGI ... #Differential #Algorithm
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... bleeding (LGIB) ... Unstable (Rule out upper ... GI bleed) vs Stable
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Upper: • Esophagus ... colitis, UC/Chrons (IBD ... Residency @CMC_IM #Upper
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
Gastric Aspiration Port ... -Used to stop bleeding ... in Upper GI bleed ... does not stop bleeding ... MinnesotaTube #UpperGI
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
• Occult UGI bleeding ... , asymptomatic IBD ... Overt Bleeding ... RULE OUT BRISK Upper ... GI bleed, Diverticular
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
in Non-Variceal Upper ... GI Bleeding - Scoping ... Infusion = 40mg IV BID ... #Bleeding #Summary ... diagnosis #management #algorithm
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
subtract 1 PMN per ... TMP-SMX • Active upper ... GI bleed: use IV ... not) - ↓ rebleeding