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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 - ... Management Algorithm ... Upper GI bleed ... #GI #Bleed #UGIB ... gastrointestinal #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Unstable (Rule out upper ... #management #Algorithm ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... GI Bleeding Acute ... #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology
Candida Esophagitis - Upper endoscopy revealed linear, white, mucosal, plaquelike lesions on the esophagus (Panel A).
Candida Esophagitis ... - Upper endoscopy ... performed 12 weeks ... B) #Clinical #GI ... #Candida #Esophagitis
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
Endoscopy in Non-Variceal ... Upper GI Bleeding ... Scoping Summary Pre-Endoscopic ... GBS, high sens. >12 ... diagnosis #management #algorithm
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
use, infections (Candida ... patients present with upper ... GIB with hematemesis ... melena - Other GI ... diagnosis #management #gastroenterology