Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
for Describing Endoscopic ... and Predicting Risk ... - Therapy - Rebleeding ... Clear liquid  Ib ... #Risk #Rebleeding
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... Ib - Active Oozing ... #Upper #GIBleed ... UGIB #diagnosis #endoscopy
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... sens. >12 inc. risk ... = 40mg IV BID ... Assessment and Therapy ... #management #algorithm
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
allopurinol 300 mg BID ... mg/dL or > 25 % rise ... Simultaneous clotting and bleeding ... swelling, dyspnea, upper-extremity ... (~25 %) during therapy