9 results
Management of Bleeding Gastric Varices

Gastric Varices
Saad-Caldwell Classification
Endoscopic Evaluation and Management
Endovascular Management

By Chuma G. Obineme, MD @TypicallySilent
Management of Bleeding ... Gastric Varices ... Saad-Caldwell ... Classification ... #Variceal #Bleeding
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... PRINCIPLES OF MANAGEMENT ... #Varices #Bleeding ... Summary #Endoscopy #diagnosis ... #management #algorithm
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... spironolactone (2:5 ratio), paracentesis ... bactrim or FQ B - Bleeding ... - Ppx (non-bleeding ... #Diagnosis #Hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... #Hepatology #SAAG
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Algorithm Upper ... Ulcer Disease • Variceal ... Bleeding • Mallory ... #Differential #Diagnosis ... #management #Algorithm
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Any etiology (variceal ... not) - ↓ rebleeding ... Peritonitis #SBP #diagnosis ... #management #prophylaxis
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
≥ 20,000/uL • Paracentesis ... , Prophylactic variceal ... bleeding, Small ... Push enteroscopy, Diagnostic ... thresholds #targets #management
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
and Management ... Infection, GI bleeding ... Encephalopathy #Grading ... #Classification ... #Diagnosis #Management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... NonVariceal #UpperGI #Bleeding ... Summary #Endoscopy #diagnosis ... #management #algorithm