11 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Variceal banding ... #Endoscopic #Bleeding ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD ... Disease • Variceal Bleeding ... #UGIB #GIBleed ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Classification #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
banding + octreotide ... banding, RR of ... esophageal variceal bleed ... #varices #management ... ebm #evidence #gastroenterology
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
pads (anterior & posterior ... anterior sail sign or posterior ... • ED Management ... ; Types II-IV, pending ... #Orthopedics #MSK
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... If peptic ulcer bleeding ... #management #gastroenterology ... #UGIB
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow ... • ED Management ... week; Complex, pending ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
compartment syndrome • ED ... Management: Pain ... ; Types II-IV, pending ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... - Ask the nurses ... #gastroenterology ... #egd #banding
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
(Other than EGD ... double-balloon endoscopy ... may obscure bleeding ... #GIBleed #management ... #gastroenterology