9 results
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 ... GI Bleed: • Peptic ... #GI #Bleed #UGIB
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... bleeding (LGIB) ... GI bleed) vs Stable ... #management #Algorithm
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 ... #Management #MinnesotaTube
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
GI bleed with rapid ... GI bleed is usually ... endoscopy to exclude ... upper GI bleed. ... #Diagnosis #Management
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... If peptic ulcer bleeding ... • Rescope if bleed ... #NonVariceal #Upper
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Infusion = 40mg IV BID ... NonVariceal #UpperGI #Bleeding ... #diagnosis #management ... #algorithm
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
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... 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