37 results
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Patients With Bleeding ... (%) - PPI - Diet ... Clear liquid  Ib ... Classification #Endoscopy #EGD ... #PUD #Ulcers #Diet
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
indications → PPI ... Therapeutic trial of PPI ... → discontinue PPI ... off PPI 2-4 weeks ... impedance pH) • PPI
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... no NGT, mlVF, PPI ... Necrosis #black #esophagus ... diagnosis #management #gastroenterology
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
Therapy (14d) - PPI ... 500 tid) - PPI ... Therapy (14d) - PPI ... Test or repeat EGD ... quadrupletherapy #gastroenterology
Bleeding peptic ulcer on endoscopy.
Johnson Type III pre pyloric and Forrest IB

- Cirbosque @Cirbosque

#PepticUlcer #PUD #Bleeding
Bleeding peptic ... pyloric and Forrest IB ... #PepticUlcer #PUD ... #Bleeding #EGD
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Bleed Upper: • Esophagus ... • Duodenum: PUD ... colitis, UC/Chrons (IBD ... differential #diagnosis #Causes
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... Hgb 7-9 g/dL PPI ... unclear source (in case ... variceal ligation - EGD ... Surveillance EGD
Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... Celiac disease, IBD ... : Medications (PPI ... differential #diagnosis #causes
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Risk 60-100% Ib ... Active Oozing, Re-bleeding ... diagnosis #endoscopy #gastroenterology ... #egd