Dr. Michael Chew @mchew85
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GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Rebleeding risks ... IIa - Non-Bleeding ... #Forrest #Classification ... #Risks #Grading
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk ... of Rebleeding. ... value for the risk ... of further bleeding ... Gastroenterology #UpperGI #Rebleeding
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... the stigmata of bleeding ... prevalence and risks ... of further bleeding ... vessel; E, active bleeding
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Risk - Summary ... guideline Low Risk ... sphincterotomy High Risk ... Endoscopy #Endoscopic #Bleeding
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Causes of Small ... Bowel Bleeding - ... Diagnosis Common Causes ... NSAID ulcers Rare Causes ... #SmallBowel #Bleeding
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... #Management #algorithm ... #lower #GIBleeding
5 D's Mnemonic for Causes of Iron Deficiency Anemia (IDA)
Diet - lacking iron, vitamin C, too
D's Mnemonic for Causes ... Blood loss) - GI bleeding ... Deficiency #Anemia #Causes
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... infection and high risk