31 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Stabilization Concern ... Consult GI ± EGD Causes ... Disease • Variceal Bleeding ... Differential #Diagnosis #management
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Suspected lower GI bleeding ... Polypectomy, Colorectal cancer ... ) vs Stable Patient ... LGIB #GIBleed #management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... pregnancy related cause ... Hemodynamically stable ... path0100' or breast cancer ... #Management #Obstetrics
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Ruptured aortic aneurysm ... Retroperitoneal bleed ... exacerbation (any cause ... Classification #Table
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
of Glomerular Bleeding ... BPH • Prostate cancer ... urinary tract) Causes ... Exercise induced bleeding ... Pseudohematuria: • GI bleed
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Thoracic aortic aneurysm ... Mimics: • GI bleed ... Nasopharyngeal bleeding ... Diagnosis #pulmonary #causes
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... per treatment table ... and procedural bleeding ... with a very low bleeding ... Therapy • Low Bleed-Risk
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... may be herald bleed ... Typical "herald bleed ... patients with massive bleed ... Management: SURGERY
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Gastronintestinal Bleed ... • Colorectal cancer ... • Occult UGI bleeding ... asymptomatic IBD Overt Bleeding ... Diagnosis #Algorithm #Causes
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products
Angiotensin-Converting Enzyme Inhibitors (ACEIs)
 • Night-blooming
palmetto - Increases bleeding ... to increased bleed ... vera, Licorice - Causes ... palmetto - Increases bleeding ... pharmacology #DDI #table