22 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... - Refractory Bleeding ... Bleed Management ... #Varices #Bleeding ... #diagnosis #management
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... Polypectomy - Variceal ... #Endoscopic #Bleeding ... LowRisk #HighRisk #Diagnosis
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... If peptic ulcer bleeding ... Aguila @enrrikke #NonVariceal ... #Upper #GIBleed
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... should receive endoscopic ... #Diagnosis #Gastroenterology ... Stigmata #EGD #Endoscopy
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Ulcer Disease • Variceal ... Bleeding • Mallory ... #UGIB #GIBleed ... #Differential #Diagnosis
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... Endoscopic variceal ... #Esophageal #Variceal ... #Bleeding #Diagnosis
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... acute esophageal variceal ... bleed (given empirically ... Variceal Banding ... Endoscopic Variceal
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Active Oozing, Re-bleeding ... Classification #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... ScopingSundays #NonVariceal ... #UpperGI #Bleeding ... #diagnosis #management
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... (GIB, RP bleed) ... Cold and Dry #Shock ... Classification #diagnosis ... #differential #criticalcare