8 results
Evaluation and Management of Gastrointestinal Bleeding #Diagnosis #Management #EM #GI #Bleed #UpperGI #LowerGI #Resuscitation #Differential #Algorithm
Evaluation and Management ... Gastrointestinal Bleeding ... #Diagnosis #Management ... #EM #GI #Bleed ... #Differential #Algorithm
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD Causes ... Disease • Variceal Bleeding ... Differential #Diagnosis #management ... #Algorithm #gastrointestinal
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... Active upper GI bleed ... fluoroquinolone to complete ... not) - ↓ rebleeding ... SBP #diagnosis #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Stable Narrow-Complex ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Causes of Early Bleeding in Pregnancy (< 20 Weeks) - Differential Diagnosis Algorithm
Not Bleeding from the
Causes of Early ... Differential Diagnosis Algorithm ... and Clots: • Complete ... (implantation bleed ... #Causes #Obstetrics
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... fluoroquinolone to complete ... unclear source (in case ... TIPS • Pre-TIPS evaluation
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
are excellent at evaluating ... causing hypovolemia needing ... the determined cause ... #differential #algorithm ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... - what is the bleeding ... one post op Cardiology ... medical and surgical management