16 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... OF MANAGEMENT (VARICEAL-B ... #Esophageal #Variceal ... #Varices #Bleeding ... #VARICEALB #Mnemonic
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Ulcer Disease • Variceal ... Bleeding • Mallory ... #Differential #Diagnosis ... #management #Algorithm
Stroke and bleeding risk stratification with the CHADS2-VASc and HAS-BLED schemas

#Diagnosis #Hematology #CHADS2 #CHADS2VASc #HASBLED #Comparison
Stroke and bleeding ... CHADS2-VASc and HAS-BLED ... schemas #Diagnosis ... #Hematology #CHADS2 ... CHADS2VASc #HASBLED #Comparison
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Lower Causes of GI Bleed ... Boerhaave syndrome), Variceal ... Hpylori), Gastritis, Variceal ... #differential #diagnosis ... #Causes #algorithm
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... Acute Esophageal Variceal ... acute esophageal variceal ... • Endoscopic Variceal ... Endoscopic Variceal
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... PERI-ENDOSCOPY Endoscopic variceal ... #Esophageal #Variceal ... #Bleeding #Diagnosis
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
• Ascites • Variceal ... Bleeding • Hepatic ... inpatient #Cirrhosis #diagnosis ... #treatment #management
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
CHA2DS2VASc vs HAS-BLED ... S Stroke 1 B Bleeding ... CHADS2VASc #HASBLED #Comparison ... Anticoagulation #AFib #Diagnosis ... #Hematology
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 • No
Bleeding risk calculators ... - HAS-BLED (atrial ... validated for VTE treatment ... Anticoagulation #Factors #Hematology ... #Diagnosis
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... - Differential Diagnosis ... Algorithm Acute ... - Exclude bleeding ... Gastro-esophageal varices