13 results
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 ... Consult GI ± EGD ... #Differential # ... gastrointestinal #gastroenterology
Algorithm for Diagnosis of Acute Gastrointestinal Bleeding
 • Endoscopy
 • Colonoscopy
 • CT Angiogram
 • Catheter
Algorithm for Diagnosis ... Gastrointestinal Bleeding • Endoscopy ... • Colonoscopy ... LouLectures #Algorithm ... #GI #bleed #gastroenterology
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Differential Diagnosis ... Algorithm • ... Ischemic colitis, IBO ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Differential Diagnosis ... congenital/systemic disease ... Ischemic Colitis - IBD ... #Diagnosis #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... EGD + Colonoscopy ... most small-bowel diseases ... MatthewHoMD #GI ... #management #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper GI ... Classification #Upper #GIBleed ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Thiopurine Assess Disease ... Activity: Colonoscopy ... +/- EGD, Small ... ESR • Active Disease ... #gastroenterology
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
Deficiency Anemia - Differential ... Diagnosis Algorithm ... • Blood loss: GI ... Structural: Celiac disease ... Tropical sprue, IBD
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... congenital heart disease ... #EGD #Indications ... #Gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... GBS, high sens. >12 ... Infusion = 40mg IV BID ... • Start with EGD ... diagnosis #management #algorithm