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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
Management Algorithm ... for Suspected Upper ... GI Bleed (UGIB) ... #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 ... #GI #Bleed #UGIB
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
bleeding (LGIB) ... lesion • Previous LGIB ... Known potential LGIB ... Unstable (Rule out upper ... #Bleed #LGIB #GIBleed
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
GI Bleeding Acute ... #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology ... #egd
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
for Endoscopy ( ... solid lesions (upper ... #Prophylaxis #Endoscopy ... #EGD #Indications ... #Gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... #NonVariceal #Upper ... GIBleed #management #gastroenterology ... #UGIB
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... GBS, high sens. >12 ... Prokinetics dec. repeat EGD ... • Start with EGD ... diagnosis #management #algorithm
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
broad spectrum antibiotic ... patients present with upper ... GIB with hematemesis ... melena - Other GI ... Diagnosis: - EGD