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differential neurology ugib abdominal bleed blood chronic classification contusion cord ctchest disorders egd emergencies endoscopy forrest gastrointestinal gastronintestinal gi hematuria
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 ... Consult GI ± EGD Causes ... of Upper GI Bleed ... #gastroenterology
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... colitis, UC/Chrons (IBD ... #Lower #GIBleed ... #differential #diagnosis ... #Causes #algorithm
Forrest Classification of Upper GI Bleeding Acute Hemorrhage Ia - Active Spurting, Re-bleeding Risk 60-100%
Risk 60-100% Ib ... 30% IIc - Flat Spot ... #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... Family history of IBD ... Consider tumor • Upper ... Diverticulitis • IBD ... #gastroenterology
Mechanisms of Pain Mixed - Nociceptive/Neuropathic Nociceptive - Tissue Damage - Visceral - (From organ/cavity lining) Poorly localized,
Mechanisms of Pain ... Well-localized, sharp, short ... • Spinal injury ... #Differential #Diagnosis ... #Algorithm #Causes
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Immune mediated injury ... Post-infectious GN - Loin pain ... syndrome: • Flank pain ... Ureter/Bladder (Upper ... Pseudohematuria: • GI bleed
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
- Differential Diagnosis ... Algorithm Occult ... , asymptomatic IBD ... RULE OUT BRISK Upper ... #Algorithm #Causes
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... continence • Pain ... Non-compressive Spinal Cord Causes ... Symptoms: • Upper ... differential #algorithm
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
abdomen if abdominal pain ... allopurinol 300 mg BID ... Treat underlying cause ... swelling, dyspnea, upper-extremity ... Oncology #HemeOnc #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
breath and chest pain ... located chest pain ... sounds on the upper ... Due to their short ... Most commonly caused
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