8 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Differential Diagnosis ... congenital/systemic disease ... Ischemic Colitis - IBD ... #gastroenterology
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... Activity: Colonoscopy ... ESR • Active Disease ... #gastroenterology ... #indications
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... EGD + Colonoscopy ... most small-bowel diseases ... MatthewHoMD #GI ... #management #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... congenital heart disease ... Endoscopy #EGD #Indications ... #Gastroenterology ... #Management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
skin pallor • GI ... diarrhea related to IBD ... , celiac disease ... symptoms • P/E - GI ... #management #nutrition
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... risk X Stop if no indication ... • Active upper GI ... advanced liver disease ... #management #prophylaxis
Pyoderma Gangrenosum (PG)
50 M Crohn’s dz had a small pustule on the ankle 4 mo ago
Diagnosis? ... conditions such as IBD ... Management of PG ... therapy, & systemic medications ... #PG #clinical #photo