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gastroenterology management diagnosis gibleed bleed differential egd gastrointestinal nonvariceal antibiotic causes falsenegatives falsepositives fecal fobt forrest gastronintestinal guaiac indications lgib
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 ... #UGIB #diagnosis ... #endoscopy #gastroenterology
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 ... Disease • Variceal Bleeding ... #GI #Bleed #UGIB
Lower GI Bleed - Management Algorithm Suspected lower GI bleeding (LGIB): • Hematochezia • Melena +
Lower GI Bleed - ... Management Algorithm ... bleeding (LGIB) ... Unstable (Rule out upper ... #management #Algorithm
Acute Non-Variceal Upper GI Bleeding Pre-Endoscopy Management: • Hemodynamic resuscitation • No routine NG tube • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... If peptic ulcer bleeding ... #NonVariceal #Upper ... gastroenterology #UGIB
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... Infusion = 40mg IV BID ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
bowel) • Occult UGI ... bleeding (ulcer ... , asymptomatic IBD ... 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 ... GIB • Does not ... Massachusetts GI
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... bleeding - EUS-FNA ... cardiac devices (ICD ... solid lesions (upper ... #Prophylaxis #Endoscopy
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