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Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Post-Polypectomy Bleeding ... : Hemangiomas, Kaposi ... SCVMCMed #Lower #GIBleed
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... (hemangiomas, Kaposi ... #Lower #GI #Bleed ... #LGIB #GIBleed
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... - 50% Re-bleeding ... IIa - Non-Bleeding
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Algorithm Upper GI bleed ... Disease • Variceal Bleeding ... #Upper #GI #Bleed ... #UGIB #GIBleed
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Lower Causes of GI Bleed ... Telangectasias, Kaposi ... #Upper #Lower #GIBleed
FOBT Testing in Hospitalized Patients with Upper GI Bleed 
Choosing Wisely': Things We Do For No
with Upper GI Bleed ... ChoosingWisely #UGIBleed ... #LGIBleed #TWDFNR
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Patients With Bleeding ... Diet I Active bleeding ...  Ia  Spurting bleed ... liquid  Ib  Oozing bleed ... II Stigmata of bleeding
GI Bleed Checklist

History, 
Exam, Labs, Access, Coagulation status, 
Medications, 
Interventions

#Diagnosis #Management #Gastrointestinal #GIBleed #Checklist #CriticalCare
GI Bleed Checklist ... Gastrointestinal #GIBleed
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Active Oozing, Re-bleeding ... Ulcer Base, Re-bleeding ... without Active Bleeding ... Classification #Upper #GIBleed
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... hematochezia if the bleeding ... Lower GI Bleed ( ... #Upper #Lower #GIBleed