10 results
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Upper: • Esophagus ... colitis, UC/Chrons (IBD ... Residency @CMC_IM #Upper
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Unstable (Rule out upper ... #GIBleed #management ... #Algorithm #gastrointestinal
Algorithm for the Evaluation of Dysphagia:Oropharyngeal:
- Characterized by difficulty initiating swallowing and accompanied by choking/coughing, nasopharyngeal
Algorithm for the ... Evaluation of Dysphagia ... muscle (release upper ... esophagus and lower ... Differential #EM #GI
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
Hematochezia is due to a lower ... due to a massive upper ... Hematochezia due to an upper ... start with an upper ... endoscopy to exclude upper
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
have had prior evaluations ... Family history of IBD ... Consider tumor • Upper ... cardiac causes • Lower ... mesenteric ischemia • GI
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
for GIB/anemia evaluation ... esophagitis, gastritis, IBD ... Denatured from upper ... Does not change management ... Massachusetts GI
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... Differential Diagnosis Algorithm ... , asymptomatic IBD ... RULE OUT BRISK Upper ... GI bleed, Diverticular
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... undergoing AAA or upper ... medical and surgical management ... perioperative #Risk #Evaluation
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Cirrhosis & GI ... cardiac devices (ICD ... solid lesions (upper ... or lower GI tract ... Gastroenterology #Management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
in Non-Variceal Upper ... GI Bleeding - Scoping ... Infusion = 40mg IV BID ... Endoscopy #diagnosis #management ... #algorithm