12 results
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Evaluation and Management ... Gastrointestinal Bleeding ... #Diagnosis #Management ... #EM #GI #Bleed ... #Differential #Algorithm
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Disease • Variceal Bleeding ... Differential #Diagnosis #management ... #Algorithm #gastrointestinal ... #gastroenterology
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Low Mean Corpuscular Volume (<80
Differential Diagnosis Algorithm ... 80-100 fL) • Bleeding ... (>100 fL) • B12 ... Differential #Diagnosis #Algorithm ... #Causes #Hematology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... bleeding (LGIB) ... LGIB #GIBleed #management ... #Algorithm #gastrointestinal ... #gastroenterology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
wt loss • If anemia ... skin pallor • GI ... total body stores Evaluation ... symptoms • P/E - GI ... Deficiency #diagnosis #management
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
- History of bleeding ... epistaxis, gingival bleeding ... . pylori test (GI ... changes), high MCV anemia ... - Bone marrow evaluation
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
ecchymoses, mucosal bleeding ... - Parvovirus B19 ... • Parvovirus B19 ... #oncology #hematology ... #diagnosis #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... performed within 12 ... TIPS • Pre-TIPS evaluation ... endoscopy #varices #hepatology
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
appropriate for GIB/anemia ... evaluation • ... epistaxis, gingival bleeding ... Does not change management ... Massachusetts GI
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... normal, further evaluation ... hemochromatosis #algorithm ... #diagnosis #management ... #hepatology #gastroenterology