20 results
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... #Gastric #Ulcers
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Bleeding Rebleeding ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... #Grading #gastroenterology ... #EGD #clinical
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... risks of further bleeding ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... #Gastric #Ulcers
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... : • Peptic Ulcer ... Disease • Variceal Bleeding ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
- Flat Spot in Ulcer ... III Clean-Based Ulcer ... GIBleed #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... - Differential Diagnosis ... - Exclude bleeding ... Peptic Ulcer Disease ... (55%): - Gastric
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 • No
Bleeding risk calculators ... - HAS-BLED (atrial ... validated for VTE treatment ... Anticoagulation #Factors #Hematology ... #Diagnosis
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Differential Diagnosis ... Post-Polypectomy Bleeding ... Colonic and Rectal Ulcers ... #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... hematochezia if the bleeding ... - A "positive" gastric ... comparison #versus #diagnosis ... #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... banding, RR of rebleeding ... esophageal variceal bleed ... from the ulcer ... ebm #evidence #gastroenterology