9 results
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Gastrointestinal Bleeding ... #EM #GI #Bleed ... #UpperGI #LowerGI ... Resuscitation #Differential ... #Algorithm #Ddxof
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 ... EGD Causes of Upper ... MatthewHoMD #Upper
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Unstable (Rule out upper ... GI bleed) vs Stable ... #management #Algorithm
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
due to a massive upper ... GI bleed with rapid ... GI bleed is usually ... start with an upper ... GI bleed.
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
- Differential ... Diagnosis Algorithm ... • Occult UGI bleeding ... Patient • RULE OUT BRISK ... Upper GI bleed,
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... routine NG tube • Risk ... • Rescope if bleed ... #NonVariceal #Upper
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
small study, low-risk ... TMP-SMX • Active upper ... GI bleed: use IV ... not) - ↓ rebleeding ... SBP #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Cataract Plan for Meds ... - what is the bleeding ... undergoing AAA or upper ... medical and surgical management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
in Non-Variceal Upper ... GI Bleeding - Scoping ... sens. >12 inc. risk ... Endoscopy #diagnosis #management ... #algorithm