10 results
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... Risk 60-100% Ib ... , Re-bleeding Risk ... Classification #Upper ... UGIB #diagnosis #endoscopy
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... acquired/vasoactive meds ... , consider for active ... acute settings - Pre-endoscopic ... #algorithm #VARICEALB
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Scoping Summary Pre-Endoscopic ... protection/AMS/active ... Infusion = 40mg IV BID ... #management #algorithm
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Pearls: • IDA and active ... NRH & Heme eval. re ... ileal Crohn's/resection ... have fatigue w/ active ... #management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... but anticipate active ... in the mid or upper ... #Tips #Tricks #management ... gastroenterology #fellows #endoscopy
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Diagnosis • Pre-existing ... sx: dyspnea on exertion ... Period • Breast-feeding ... Avoid ARBs • ICD ... teratogenic GDMT meds
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
terminal alveoli and are ... inhibitors • Injection ... Progression: • Upper ... involvement - seeding ... TB #Diagnosis #Management
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
terminal alveoli and are ... inhibitors • Injection ... Progression: • Upper ... involvement - seeding ... TB #Diagnosis #Management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... cardiac devices (ICD ... solid lesions (upper ... the setting of active ... Gastroenterology #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... event, follow ACC algorithm ... risk (<1%): - Endoscopic ... - what is the bleeding ... undergoing AAA or upper