10 results
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... GI bleeding (LGIB ... Rule out upper GI bleed ... #GI #Bleed #LGIB ... #GIBleed #management
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 ... Consult GI ± EGD ... Disease • Variceal Bleeding ... #UGIB #GIBleed
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... • Rescope if bleed ... #management #gastroenterology ... #UGIB
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
presenting with acute Lower ... GI Bleed High-risk ... Multiple high-risk clinical ... unit: exclude an UGIB ... #Lower #GIBleed
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Stabilize: • Bleed ... from above • Bleed ... intervention (EGD ... #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI Bleed ... (Other than EGD ... non-therapeutic, massive bleed ... MatthewHoMD #GI #Bleed ... #GIBleed #management
Clear Cap Tamponade of Bleeding on Endoscopy
Clear Cap Crowd Control : stop active bleeding using tamponade
Cap Tamponade of Bleeding ... on Endoscopy Clear ... torrential focal bleed ... #Endoscopy #clinical ... #EGD #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... banded if the lower ... EGD and the Banding ... #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
and incomplete lower ... • Failure of lower ... sphincter to relax EGD ... Achalasia #diagnosis #management ... #treatment #gastroenterology