10 results
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... hematochezia if the bleeding ... comparison #versus #diagnosis ... #gastroenterology ... #ugib #lgib
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Upper #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology ... #egd
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 ... Upper #GI #Bleed #UGIB ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Colonoscopy showing a protruding vessel with active bleeding and normal surrounding mucosa suggestive of Dieulafoy's lesion.

#clinical
vessel with active bleeding ... #clinical #diagnosis ... #Gastroenterology ... ObscureGIbleed #LGIB
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
- Differential Diagnosis ... Post-Polypectomy Bleeding ... Lower #GIBleed #LGIB ... #Differential #Diagnosis ... #gastroenterology
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
UpperGI bleeding ... What’s your diagnosis ... #Perforation #esophagus ... #Endoscopy #EGD ... #clinical #gastroenterology
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Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... present with upper GIB ... : - EGD showing ... distal third of esophagus ... #management #gastroenterology
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
assessing ABCs 4) Diagnose ... intervention (EGD ... #GI #Bleed #GIB ... Gastrointestinal #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... Endoscopes: • ESOPHAGO-GASTRO-DUODENOSCOPE ... ENTEROSCOPE - Diagnostic ... COLONOSCOPE - Diagnostic ... Aguila @enrrikke #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
: Testing The diagnosis ... sphincter to relax EGD ... secondary causes leading ... #Achalasia #diagnosis ... management #treatment #gastroenterology