10 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 ... Bleeding • Mallory ... #Bleed #UGIB #GIBleed ... #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... bleeding (LGIB) ... bleed) vs Stable ... #Bleed #LGIB #GIBleed ... #gastrointestinal
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Evaluation and Management ... of Gastrointestinal ... Bleeding #Diagnosis ... #Management #EM ... #GI #Bleed #UpperGI
Algorithm for Diagnosis of Acute Gastrointestinal Bleeding
 • Endoscopy
 • Colonoscopy
 • CT Angiogram
 • Catheter
Diagnosis of Acute Gastrointestinal ... Bleeding • Endoscopy ... Algorithm #Acute #Gastrointestinal ... #Bleeding #GIBleed ... #GI #bleed #gastroenterology
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Stabilize: • Bleed ... from above • Bleed ... #Bleed #GIB #Gastrointestinal ... #gastroenterology
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 ... • Rescope if bleed ... #management #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI ... Bleeds Minnesota ... and esophageal bleeding ... #UGIB #Upper #GIBleed ... #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Bleed (Other than ... non-therapeutic, massive bleed ... may obscure bleeding ... #Bleed #GIBleed ... #management #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... bleed (given empirically ... Endoscopic Variceal ... #management #ebm ... #evidence #gastroenterology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
• Active upper GI ... bleed: use IV CTX ... Any etiology (variceal ... not) - ↓ rebleeding ... SBP #diagnosis #management