13 results
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
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
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... #Risks #Gastroenterology ... #EGD #LowRisk # ... #Management #Guidelines
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Necrosis #black #esophagus ... #diagnosis #management ... #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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... history of Barrett esophagus ... Stricture • Barrett esophagus ... Reflux #Disease #diagnosis ... #management #Gastroenterology
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
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... Endoscopes: • ESOPHAGO-GASTRO-DUODENOSCOPE ... Aguila @enrrikke #Gastroenterology ... #accessories #EGD
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
Rapid Response Management ... assessing ABCs 4) Diagnose ... intervention (EGD ... #GI #Bleed #GIB ... Gastrointestinal #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... PPI, octreotide, EGD ... - Ppx (non-bleeding ... #Diagnosis #Hepatology ... #Gastroenterology