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Management Algorithm for Suspected Upper GI Bleed (UGIB)

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Upper
for Suspected Upper ... GI Bleed (UGIB) ... EricsMedicalLectures/ #Upper ... #GIBleed #UGIB ... #gastroenterology
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 of Upper ... #GI #Bleed #UGIB ... #GIBleed #Differential
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Unstable (Rule out upper ... GI bleed) vs Stable ... #Lower #GI #Bleed ... #LGIB #GIBleed
Upper GI Bleed Management Checklist
 - Recognition
 - Resuscitation 
 - Risk Assessment
 - Rx
 -
Upper GI Bleed Management ... @drkeithsiau #Upper ... #GIBleed #UGIB ... Management #Checklist #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Distinguishing Upper ... Lower GI Bleeding Upper ... GI Bleed (proximal ... Lower GI Bleed ( ... EricsMedicalLectures/ #Upper
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Algorithm • ... #Lower #GI #Bleed ... #LGIB #GIBleed ... #gastroenterology
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... should receive endoscopic ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... Stigmata #EGD #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 ... Residency @CMC_IM #Upper ... #Lower #GIBleed
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... Classification #Upper ... #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... • Rescope if bleed ... #NonVariceal #Upper ... #gastroenterology ... #UGIB