11 results
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... Risk 60-100% Ib ... #Upper #GIBleed ... UGIB #diagnosis #endoscopy
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Upper: • Esophagus ... colitis, UC/Chrons (IBD ... diagnosis #Causes #algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Mechanism Decreased GI ... hypomagnesemia Excessive GI ... Chronic diarrhea / IBD ... Renal Loses - Medications ... Magnesium #Table #Classification
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... Scoping Summary Pre-Endoscopic ... Infusion = 40mg IV BID ... diagnosis #management #algorithm
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
Algorithmic Approach ... endoscopy to exclude ... upper GI bleed. ... replaced by newer algorithms ... Hematochezia #Severe #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... cardiac devices (ICD ... solid lesions (upper ... #Prophylaxis #Endoscopy ... #EGD #Indications
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
inpatient setting) for indications ... esophagitis, gastritis, IBD ... cirrhosis - Medications ... Denatured from upper ... Massachusetts GI
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... , asymptomatic IBD ... RULE OUT BRISK Upper ... GI bleed, Diverticular ... Differential #Diagnosis #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... event, follow ACC algorithm ... risk (<1%): - Endoscopic ... the type of and indication ... undergoing AAA or upper
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
-4 • Consult GI ... • Endoscopy ( ... diagnosis #management #algorithm ... #IBD