13 results
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... Acute bleeding in ... RodriguezParra_ #active ... #Upper #Endoscopy ... #EGD #gastroenterology
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Dermatologic Extraintestinal Manifestations in IBD - IBD Algorithm

Erythema Nodosum
Pyoderma Gangrenosum
Metastatic Crohn's Disease
Sweet Syndrome
EBA

Dr. Wade Billings @wabillin

#Dermatologic
Erythema Nodosum Pyoderma ... Manifestations #EIM #IBDAlgorithm ... #IBD #Algorithm ... #gastroenterology ... #management #dermatology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... 60-100% Ib - Active ... Classification #Upper ... UGIB #diagnosis #endoscopy ... #gastroenterology
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
in Upper Gastrointestinal ... Bleeding • ... Medical Management ... #Bleeding #management ... #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Disease • Variceal Bleeding ... Differential #Diagnosis #management ... #Algorithm #gastrointestinal ... #gastroenterology
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... PRINCIPLES OF MANAGEMENT ... , consider for active ... - Refractory Bleeding ... #algorithm #VARICEALB
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... protection/AMS/active ... NonVariceal #UpperGI #Bleeding ... #diagnosis #management ... #algorithm
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - Management ... Algorithm Suspected ... lower GI bleeding ... Unstable (Rule out upper ... #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... in the mid or upper ... #Tips #Tricks #management ... #gastroenterology ... #fellows #endoscopy
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... If peptic ulcer bleeding ... #NonVariceal #Upper ... #gastroenterology