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

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... EGD Causes of Upper ... MatthewHoMD #Upper
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
-Used to stop bleeding ... in Upper GI bleed ... does not stop bleeding ... #Management #MinnesotaTube ... #UpperGI #GIBleed
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... bleeding (LGIB) ... Unstable (Rule out upper ... LGIB #GIBleed #management ... #Algorithm #gastrointestinal
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
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
epistaxis, gingival bleeding ... esophagitis, gastritis, IBD ... Denatured from upper ... Does not change management ... Massachusetts GI
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 ... Endoscopy #diagnosis #management ... #algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Cirrhosis & GI ... bleeding - EUS-FNA ... cardiac devices (ICD ... solid lesions (upper ... Gastroenterology #Management
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 ... SBP #diagnosis #management