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diagnosis differential gibleed management bleed gastrointestinal lgib ugib abdominal antibiotic blood chronic comparison egd endoscopy gastronintestinal hematuria indications lowergibleed nephrology
Lower GI Bleed - Management Algorithm Suspected lower GI bleeding (LGIB): • Hematochezia • Melena +
Lower GI Bleed - ... Suspected lower ... GI bleeding (LGIB ... Unstable (Rule out upper ... MatthewHoMD #Lower
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... #Lower #GIBleed ... versus #diagnosis #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 ... ± EGD Causes ... of Upper GI Bleed ... Disease • Variceal Bleeding
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Aortoenteric fistula Lower ... #Lower #GIBleed ... #algorithm
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
hematuria + clots ➔ Lower ... of Glomerular Bleeding ... Ureter/Bladder (Upper ... and Lower urinary ... Pseudohematuria: • GI
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... • Occult UGI bleeding ... RULE OUT BRISK Upper ... GI bleed, Diverticular ... #Causes
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Consider tumor • Upper ... • Lower quadrant ... Lymphoma/Leukemia Lower ... mesenteric ischemia • GI ... Differential #Diagnosis #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
- Cirrhosis & GI ... bleeding - EUS-FNA ... solid lesions (upper ... or lower GI tract ... #Indications #Gastroenterology
Weight Loss - Differential Diagnosis Algorithm Decreased Intake: • GI illness (upper and lower) • Psychiatric (Depression,
Differential Diagnosis Algorithm ... Decreased Intake: • GI ... illness (upper ... and lower) • Psychiatric ... #Causes
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