11 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD Causes ... : • Peptic Ulcer ... Disease • Variceal Bleeding ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... GI Bleeding Acute ... - Flat Spot in Ulcer ... III Clean-Based Ulcer ... diagnosis #endoscopy #gastroenterology
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Upper Gastronintestinal ... Acute Hematemesis ... - Exclude bleeding ... Peptic Ulcer Disease ... #Causes
Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
 • Intussusception
 • Gastroenteritis
 • Viral Illness
 •
Pediatric Acute ... Differential Diagnosis Algorithm ... Gastritis • Peptic Ulcer ... Disease Right Upper ... #Causes #Peds #
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... surgical abdomen Upper ... musculoskeletal causes ... genitourinary causes ... ischemia • Peptic ulcer
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm
Hepatobiliary:
 • Acute Hepatitis
 • Acute
Differential Diagnosis Algorithm ... Pancreatitis Upper ... Enterocolitis Upper ... Disease • Peptic Ulcer ... #Causes #Peds #
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
for Treatment of Acute ... ) - No role in acute ... from the ulcer ... caused by endoscopic ... ebm #evidence #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
• Occult UGI bleeding ... (ulcer, esophagitis ... RULE OUT BRISK Upper ... Diverticular bleed, • Acute ... #Causes
Localized Acute Abdominal Pain(<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac, pulmonary,
Localized Acute ... Differential Diagnostic Algorithm ... musculoskeletal causes ... genitourinary causes ... • Perforated ulcer
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... liquids • If peptic ulcer ... bleeding, test ... GIBleed #management #gastroenterology