32 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Risks #Grading #gastroenterology ... #EGD #clinical
Bleeding Diverticulum Clipping on Colonoscopy

This is often what happens when you clip the mouth of the
Bleeding Diverticulum ... the mouth of the bleeding ... #Colonoscopy #clinical ... #diverticula #diverticulosis ... #endoscopy #gastroenterology
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... Upper #Endoscopy #EGD ... #gastroenterology ... #clinical
Bleeding Diverticulosis on Colonoscopy

Painless large volume lower GIB in man with known diverticulosis on anticoagulation.

Andy Tau,
Bleeding Diverticulosis ... man with known diverticulosis ... DrBloodandGuts #Diverticulosis ... #Bleeding #Colonoscopy ... #clinical #gastroenterology
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 • No
Bleeding risk calculators ... validated for VTE treatment ... studies suggest net clinical ... with very high bleeding ... Anticoagulation #Factors #Hematology
Von Willebrand Disease - Most common inherited bleeding disorder 
Clinical 
 • Easy bruising 
 •
common inherited bleeding ... disorder Clinical ... • Prolonged bleeding ... factor VIII) Treatment ... Disease #Diagnosis #Hematology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Fibrinolysis → End ... organ damage Clinical ... Treatment: ... diagnosis #causes #treatment ... #management #hematology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... variceal ligation - EGD ... Surveillance EGD ... Esophageal #Variceal #Bleeding ... Diagnosis #Management #treatment
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Failure (ACLF) Clinical ... months without treatment ... Failure #Cirrhosis #Hepatology ... #gastroenterology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
fever syndromes Clinical ... Fever is the main clinical ... purpura to mucosal bleeding ... Treatment: • Corticosteroids ... Diagnosis #Management #Hematology