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Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... ± EGD Causes ... of Upper GI Bleed ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... intervention (EGD ... /Colo) 5) Treat ... NatalieRosen_MD #GI ... #Bleed #GIB #Gastrointestinal
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 ( ... intestines or ascending colon ... #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... #diagnosis #endoscopy ... #gastroenterology ... #egd
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
- Differential Diagnosis ... by Classification ... Trauma • GI ... Retroperitoneal bleed ... exacerbation (any cause
Algorithm for Diagnosis of Acute Gastrointestinal Bleeding
 • Endoscopy
 • Colonoscopy
 • CT Angiogram
 • Catheter
Algorithm for Diagnosis ... Endoscopy • Colonoscopy ... Bleeding #GIBleed #GI ... #bleed #gastroenterology
Crohn's Montreal Classification
Montreal L-category
 - L1 - Terminal ileum
 - L2 - Colon
 - L3 -
ileum - L2 - Colon ... - L4 - Upper GI ... L4+L3 - Upper GI ... #categories #diagnosis ... #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... Bleed (Other than ... EGD + Colonoscopy ... MatthewHoMD #GI ... #management #gastroenterology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
bleeding out (trauma, GI ... RP bleed) • Hypovolemic ... : GI (vomiting/diarrhea ... #diagnosis #management ... #differential #causes