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Management Algorithm for Suspected Lower GI Bleed (LGIB)

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Lower
Management Algorithm ... for Suspected Lower ... GI Bleed (LGIB) ... EricsMedicalLectures/ #Lower ... diagnosis #Management #Algorithm
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Upper GI Bleed ... units) • Notable risk ... Lower GI Bleed ( ... gastroenterology #ugib ... #lgib
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Differential Diagnosis Algorithm ... Ischemic colitis, IBO ... MatthewHoMD #Lower ... #GI #Bleed #LGIB
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Consult GI ± EGD ... #UGIB #GIBleed ... Diagnosis #management #Algorithm
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Suspected lower ... #GI #Bleed #LGIB ... GIBleed #management #Algorithm
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Ischemic Colitis - IBD ... Medicine @SCVMCMed #Lower ... #GIBleed #LGIB
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Spurting, Re-bleeding Risk ... 60-100% Ib - ... Oozing, Re-bleeding Risk ... Upper #GIBleed #UGIB ... gastroenterology #egd
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... colitis, UC/Chrons (IBD ... CMC_IM #Upper #Lower ... diagnosis #Causes #algorithm
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Bleeding Rebleeding risks ... 1a - Spurting Bleed ... 100% Re-bleeding Ib ... - Oozing Bleed ... gastroenterology #EGD
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
Algorithm for the ... presenting with acute Lower ... GI Bleed High-risk ... unit: exclude an UGIB ... #LGIB #Algorithm