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 ... ± EGD Causes ... Disease • Variceal Bleeding ... Differential #Diagnosis #management ... #Algorithm #gastrointestinal
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
out (trauma, GI ... • Hypovolemic: GI ... #diagnosis #management ... #differential #causes ... #classification
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... • Active upper GI ... fluoroquinolone to complete ... not) - ↓ rebleeding ... SBP #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
out (trauma, GI ... • Hypovolemic: GI ... #diagnosis #management ... #differential #causes ... #classification
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Diagnosis and Management ... rule out other causes ... Precipitants: Infection, GI ... bleeding, Diuretic ... Encephalopathy #Grading #Classification
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