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Management Algorithm for Suspected Upper GI Bleed (UGIB)

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Upper
Management Algorithm ... GI Bleed (UGIB) ... #GIBleed #UGIB ... #diagnosis #Management ... #Algorithm #gastroenterology
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 ... Disease • Variceal Bleeding ... #GI #Bleed #UGIB ... #Diagnosis #management
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Suspected lower GI bleeding ... Unstable (Rule out upper ... #LGIB #GIBleed ... gastrointestinal #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... comparison #versus #diagnosis ... #gastroenterology ... #ugib #lgib
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... Classification #Upper ... #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Differential Diagnosis ... Diverticulosis - Post-Polypectomy ... Bleeding - Hemorrhoids ... #LGIB #Differential ... #Diagnosis #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
and esophageal bleeding ... Minnesota #Tubes #UGIB ... #Upper #GIBleed ... #management #instructions ... #gastroenterology
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
Endoscopic Therapy in Upper ... Pre-Endoscopic Therapy • Post-Endoscopy ... #Endoscopy #UGIB ... #Bleeding #management ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... within 24 hours Post-Endoscopy ... #GIBleed #management ... #gastroenterology ... #UGIB
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... ) bleeding in (trauma ... RP bleed) • Hypovolemic ... Classification #diagnosis ... #management #Overview