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 ... Causes of Upper GI Bleed ... Ulcer Disease • Variceal ... #Upper #GI #Bleed
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 ... #Esophageal #Variceal
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
B - Bleeding (Variceal ... esophageal gastric varices ... octreotide, EGD -> variceal ... (non-bleeding varices ... Diagnosis #Hepatology #Gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... acute esophageal variceal ... bleed (given empirically ... • Endoscopic Variceal ... Endoscopic Variceal
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Bleeding Esophageal Varices ... that specific variceal ... - Varices in ... during banding, varices ... #variceal #Tips
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI Bleeds ... particular esophageal varices ... #UGIB #Upper #GIBleed ... #management #instructions ... #gastroenterology
Causes of Anemia in Cirrhosis - Differential Diagnosis Framework
LOW RETIC INDEX - ↓ PRODUCTION
 • Vitamin
Causes of Anemia in Cirrhosis ... • Blood Loss: Variceal ... bleed, esophageal ... , Hemorrhoidal bleed ... AnnKumfer #Anemia #Cirrhosis
Preventing Decompensation in Cirrhosis 

cACLD, CSPH, and the Rule of Five
Prevention of Decompensation
Nonselective Beta Blockers (NSBB)
Preventing
Decompensation in Cirrhosis ... Preventing recurrent variceal ... Decompensation #Cirrhosis ... 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
Active upper GI bleed ... Any etiology (variceal ... SBP #diagnosis #management