14 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Causes of Upper ... Disease • Variceal Bleeding ... #UGIB #GIBleed ... #Differential #Diagnosis
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... #Upper #Lower #GIBleed ... comparison #versus #diagnosis ... #gastroenterology ... #ugib #lgib
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Classification #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Diverticulosis - Post-Polypectomy ... Bleeding - Hemorrhoids ... SCVMCMed #Lower #GIBleed ... #LGIB #Differential ... #Diagnosis #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... within 24 hours Post-Endoscopy ... If peptic ulcer bleeding ... #management #gastroenterology ... #UGIB
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
assessing ABCs 4) Diagnose ... intervention (EGD ... the underlying cause ... #GIB #Gastrointestinal ... #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
- Diagnosis and ... Management Summary ... imaging (anatomy) POST-ENDOSCOPY ... #Diagnosis #Management ... #treatment #endoscopy
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... ) bleeding in (trauma ... Classification #diagnosis ... #management #Overview ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... ) bleeding in (trauma ... Classification #diagnosis ... #management #Overview ... #differential #causes
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
present with upper GIB ... : - EGD showing ... third of esophagus Treatment ... : - Treatment of ... #management #gastroenterology