13 results
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 ... Ulcer Disease • Variceal ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... (VARICEAL-B): ... Controversies Regarding Variceal ... Bleed Management ... #Variceal #Varices
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
bleeding in Upper GI ... bleed due to esophageal ... varices -Traction ... varices. ... #UpperGI #GIBleed
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Differential Diagnosis ... colonic/rectal varices ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI ... varices) when interventional ... #UGIB #Upper #GIBleed ... #management #instructions ... #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Differential Diagnosis ... Colonic or rectal varices ... SCVMCMed #Lower #GIBleed ... #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
B - Bleeding (Variceal ... gastric varices ... octreotide, EGD -> variceal ... (non-bleeding varices ... #Gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Variceal Bleeding ... variceal bleed ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
- Differential Diagnosis ... Bevacizumab Mimics: • GI ... bleed: esophageal ... varices, PUD, gastritis ... #Differential #Diagnosis
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... #management #gastroenterology