13 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... ± EGD Causes ... of Upper GI Bleed
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 ... gastroenterology #egd
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... bleeding (LGIB) ... Unstable (Rule out upper ... LGIB #GIBleed #management ... #Algorithm #gastrointestinal
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... out (trauma, GI ... , post-partum) bleeding ... • Hypovolemic: GI ... #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... out (trauma, GI ... , post-partum) bleeding ... • Hypovolemic: GI ... #diagnosis #management
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... interventional radiology; OGD ... outpatient; UGI, upper ... #Management #algorithm
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
in Non-Variceal Upper ... GI Bleeding - Scoping ... Infusion = 40mg IV BID ... Endoscopy #diagnosis #management ... #algorithm
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
• Occult UGI bleeding ... , asymptomatic IBD ... Overt Bleeding ... RULE OUT BRISK Upper ... GI bleed, Diverticular
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
epistaxis, gingival bleeding ... esophagitis, gastritis, IBD ... Denatured from upper ... Does not change management ... Massachusetts GI
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
bleeding - EUS-FNA ... cardiac devices (ICD ... solid lesions (upper ... Prophylaxis #Endoscopy #EGD ... Gastroenterology #Management