19 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD Causes ... Disease • Variceal Bleeding ... #UGIB #GIBleed ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
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
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Differential Diagnosis ... Diverticulosis - Post-Polypectomy ... Bleeding - Hemorrhoids ... #LGIB #Differential ... #Diagnosis #gastroenterology
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
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
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
dysfunction (16%) • Shock ... Treatment: ... #Coagulation #diagnosis ... #causes #treatment ... #management #hematology
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Toxic Megacolon, Shock ... infection up to 10w post-ABx ... Ileus, Megacolon, Shock ... #management #treatment ... infectiousdiseases #IDSA #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... esophageal variceal bleed ... from the ulcer caused ... #varices #management ... ebm #evidence #gastroenterology
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
and no apparent focus ... Mucosal bleed ... Shock evidenced ... Severe bleeding: ... classification #diagnosis