20 results
Stroke and bleeding risk stratification with the CHADS2-VASc and HAS-BLED schemas

#Diagnosis #Hematology #CHADS2 #CHADS2VASc #HASBLED #Comparison
Stroke and bleeding ... risk stratification ... schemas #Diagnosis ... #Hematology #CHADS2 ... #Anticoagulation
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 ... #Differential #Diagnosis
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... Prevalence and Risk ... of further bleeding ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 • No
Bleeding risk calculators ... - HAS-BLED (atrial ... Calculators #Anticoagulation ... #Factors #Hematology ... #Diagnosis
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... #Risks #Gastroenterology ... #EGD #LowRisk # ... #Management #Guidelines
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper GI ... Risk 60-100% ... GIBleed #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
and bleed risk ... on anticoagulation ... S Stroke 1 B Bleeding ... #AFib #Diagnosis ... #Hematology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... comparison #versus #diagnosis ... #gastroenterology
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Response Management ... assessing ABCs 4) Diagnose ... intervention (EGD ... #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... EGD + Colonoscopy ... may obscure bleeding ... MatthewHoMD #GI ... #management #gastroenterology