22 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Disease • Variceal Bleeding ... UGIB #GIBleed #Differential ... #Diagnosis #management ... gastrointestinal #gastroenterology
Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
of the Hepatic and ... in Cirrhosis Bleeding ... Circulation #Disorders #Hepatology ... #Gastroenterology ... #diagnosis #Management
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Differential: Melanosis ... black #esophagus #diagnosis ... #management #gastroenterology
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 • Intrinsic - predictable, dose dependent
Diagnosis and Management ... DILI By Tina Hang ... Idiosyncratic #differential ... #Diagnosis #Management ... #hepatology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
and Management ... • Should be on differential ... may undergo EGD ... Sensitivity of EGD ... - If negative, EGD
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... - Diagnosis and ... Management Summary ... Surveillance EGD ... #Diagnosis #Management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... gastrointestinal bleeding ... Classification #types #diagnosis ... #management #criticalcare ... #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Findings: • Bleeding ... Fibrinolysis → End ... #Coagulation #diagnosis ... causes #treatment #management ... #hematology