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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) ... EricsMedicalLectures/ #Upper ... #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
of Upper GI Bleeding ... Risk 60-100% Ib ... #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #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
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 ... MatthewHoMD #Upper ... #GI #Bleed #UGIB
Crohn's Montreal Classification
Montreal L-category
 - L1 - Terminal ileum
 - L2 - Colon
 - L3 -
Crohn's Montreal Classification ... Ileocolon - L4 - Upper ... GI tract - L4+ ... L3 - Upper GI tract ... categories #diagnosis #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 ... #NonVariceal #UpperGI ... diagnosis #management #algorithm
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
Montreal Classification of Crohn's Disease
Age at diagnosis (A1-A3):
   A1: < 16 yo
Montreal Classification ... ileocolonic L4: upper ... Perianal #Montreal #Classification ... Crohns #Disease #ibd ... #diagnosis #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... cardiac devices (ICD ... solid lesions (upper ... #Prophylaxis #Endoscopy ... #Indications #Gastroenterology