8 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Ulcer Disease • Variceal ... #UGIB #GIBleed ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Reactive or "Atypical" Lymphocytosis
Infection
 • Viral: EBV, CMV, HIV, Herpes viruses, Influenza, Varicella, HTLV-I
 • Bacterial:
Reactive or "Atypical ... viruses, Influenza, Varicella ... #Reactive #Atypical ... differential #diagnosis #hematology
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Hydrothorax • Variceal ... Portosystemic #Shunt #Hepatology ... #Gastroenterology ... #Management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... acute esophageal variceal ... • Endoscopic Variceal ... Endoscopic Variceal ... @AnthonyXuMD #Variceal
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
PPI • Trial of topical ... PPI + Trial of topical ... Concern for HES: • Hematology ... Gastroenteritis #Treatment #management ... #gastroenterology
Preventing Decompensation in Cirrhosis 

cACLD, CSPH, and the Rule of Five
Prevention of Decompensation
Nonselective Beta Blockers (NSBB)
Preventing
Preventing recurrent variceal ... Prevention #treatment #management ... #hepatology #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Pre-Endoscopy Management ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... #management #gastroenterology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
worsening symptoms, atypical ... Active upper GI bleed ... Any etiology (variceal ... SBP #diagnosis #management