223 results
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Active Oozing, Re-bleeding ... Ulcer Base, Re-bleeding ... without Active Bleeding ... Upper #GIBleed #UGIB
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... hematochezia if the bleeding ... gastroenterology #ugib ... #lgib
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Disease • Variceal Bleeding ... Upper #GI #Bleed #UGIB
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
NEJM 1999 - ICU FOCUS ... - NEJM 2013 - UGIB ... septic, surgical, GIB
Bleeding Diverticulosis on Colonoscopy

Painless large volume lower GIB in man with known diverticulosis on anticoagulation.

Andy Tau,
Bleeding Diverticulosis ... large volume lower GIB ... Diverticulosis #Bleeding ... gastroenterology #LGIB
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Suspected lower GI bleeding ... (LGIB): • Hematochezia ... lesion • Previous LGIB ... Known potential LGIB ... Lower #GI #Bleed #LGIB
This is what a shoulder dislocation looks like on US before and after reduction. Focus on
Focus on the joint ... EM_RESUS #Clinical #POCUS ... #MSK #Shoulder
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
and esophageal bleeding ... Minnesota #Tubes #UGIB
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Post-Polypectomy Bleeding ... Lower #GIBleed #LGIB
Colonoscopy showing a protruding vessel with active bleeding and normal surrounding mucosa suggestive of Dieulafoy's lesion.

#clinical
vessel with active bleeding ... ObscureGIbleed #LGIB