14 results
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... Diverticular, Cancer, Polyps ... #GIBleed #differential ... #diagnosis #Causes ... #algorithm
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 ... ± EGD Causes ... Ulcer Disease • Variceal ... Bleeding • Mallory
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Post-polypectomy, Polyps ... colonic/rectal varices ... #GI #Bleed #LGIB ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Post-Polypectomy Bleeding ... Hemorrhoids - Polyps ... Colonic or rectal varices ... #GIBleed #LGIB
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... - W/in 12 hrs of ... Bleed Management ... #Varices #Bleeding ... diagnosis #management #algorithm
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... GI bleeding (LGIB ... #GI #Bleed #LGIB ... #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
bleed (given empirically ... from the ulcer caused ... Endoscopic Variceal ... #Bleeding #varices ... ebm #evidence #gastroenterology
Algorithm for Diagnosis of Acute Gastrointestinal Bleeding
 • Endoscopy
 • Colonoscopy
 • CT Angiogram
 • Catheter
Algorithm for Diagnosis ... Gastrointestinal Bleeding ... • Endoscopy ... #GIBleed #GI #bleed ... #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... #GIBleed #comparison ... versus #diagnosis #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... If peptic ulcer bleeding ... NonVariceal #Upper #GIBleed ... #management #gastroenterology