13 results
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Gastroesophageal Reflux ... Symptoms Long-Term PPI ... Issues Diagnosis Algorithm ... Gastroesophageal #Reflux ... #Treatment #Algorithm
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Evaluation and Management ... Gastrointestinal Bleeding ... #Diagnosis #Management ... EM #GI #Bleed #UpperGI ... #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 ... Disease • Variceal Bleeding ... Differential #Diagnosis #management ... #Algorithm #gastrointestinal
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... outpatient; UGI, upper ... #Management #algorithm ... #lower #GIBleeding
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - Management ... Algorithm Suspected ... lower GI bleeding ... Unstable (Rule out upper ... LGIB #GIBleed #management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
injury (by acid reflux ... promote esophageal reflux ... patients present with upper ... 48 hours - IV PPI ... Necrosis #diagnosis #management
Acid Reflux - Management Algorithm
 - Step down and stop; restart on lowest effective dose if
Acid Reflux - Management ... Algorithm - Step ... meals #Acid #Reflux ... #GERD #Management ... #Algorithm #ppi
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
in Non-Variceal Upper ... GI Bleeding - Scoping ... Pre endoscopic PPI ... Endoscopy #diagnosis #management ... #algorithm
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... Pre-endoscopy IV PPI ... If peptic ulcer bleeding ... #NonVariceal #Upper
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Differential Diagnosis Algorithm ... Constant / Chronic-Fleeting ... Post-Prandial Upper ... Gastroesophageal reflux ... Differential #Diagnosis #Algorithm