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

#Diagnosis #Hematology #CHADS2 #CHADS2VASc #HASBLED #Comparison
Stroke and bleeding ... with the CHADS2 ... schemas #Diagnosis ... #Hematology #CHADS2 ... #Stroke #Bleed
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... GI bleed Suspected ... #GI #Bleed #UGIB ... #GIBleed #Differential ... #Diagnosis #management
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Rebleeding risks ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology
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
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... Prevalence and Risk ... value for the risk ... of further bleeding ... #Diagnosis #Gastroenterology
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 ... S Stroke 1 B Bleeding ... drinks/week) 1 #CHADS2 ... #Stroke #Bleed ... #Hematology
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 ... #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Gastronintestinal Bleed ... - Differential Diagnosis ... Patient • RULE OUT BRISK ... Upper GI bleed, ... Diverticular bleed
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... TMP-SMX • Active upper ... GI bleed: use IV ... not) - ↓ rebleeding ... Peritonitis #SBP #diagnosis