9 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 ... #GIBleed #Differential ... gastrointestinal #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... B - Bleeding (Variceal ... octreotide, EGD -> variceal ... #Diagnosis #Hepatology ... #Gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Minnesota Tubes for Upper ... particular esophageal varices ... #Tubes #UGIB #Upper ... #GIBleed #management ... #instructions #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... #NonVariceal #Upper ... #GIBleed #management ... #gastroenterology
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
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... that specific variceal ... the mid or upper ... #variceal #Tips ... #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
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
TMP-SMX • Active upper ... GI bleed: use IV ... Any etiology (variceal ... SBP #diagnosis #management