11 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 ... GI Bleed: • Peptic ... Disease • Variceal Bleeding ... #GI #Bleed #UGIB
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... hematochezia if the bleeding ... units) • Notable risk ... Lower GI Bleed (
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... Prevalence and Risk ... of Rebleeding. ... value for the risk ... of further bleeding
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
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
Algorithmic Approach ... GI bleed with rapid ... GI bleed is usually ... GI bleed. ... which involve risk
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... • Occult UGI bleeding ... asymptomatic IBD Overt Bleeding ... Patient • RULE OUT BRISK ... Upper GI bleed,
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
Algorithm for the ... with acute Lower GI ... Bleed High-risk ... hernodynamically stable ... , no ongoing bleeding
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
metabolic equivalent able ... event, follow ACC algorithm ... Stable patients ... - what is the bleeding ... undergoing AAA or upper
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... routine NG tube • Risk ... • Rescope if bleed ... #NonVariceal #Upper
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
small study, low-risk ... SBP • PPIs = ↑ risk ... TMP-SMX • Active upper ... GI bleed: use IV ... not) - ↓ rebleeding