PerformUpperendoscopy(EGD)Forulcers:ifvisibleclot,visiblevessel,oractivebleeding,shouldcauterize/coagulateandinjectsclerosingagentForacutevaricealbleeding:sclerotherapy+somatostatinorendoscopicbandligation.Iffail/rebleed:TIPSvssurgicalshunt.BalloontamponadeisanemergencytemporizingmeasureStartprotonpumpinhibitor(PPI)infusion....
The patient was treated with IV ganciclovir in hospital and discharged on oral valganciclovir for 2 weeks. On followup in 1 month, the pt was doing well with no evidence of GI bleed. Discussion: Cytomegalovirus infections of the alimentary tract have been reported mainly in severely ...
Alcoholiccirrhosis->portalhypertensionand varices •OnPhysicalExam,assesshydration•Lookforstigmataofcirrhosis&portalHTN UpperGIBleeding Management–AcuteUGIBleed •Onceagain,makesureptisresuscitated •Ifanemicandsymptomatic,giveblood•PlaceNGT/lavage(helpsforendoscopy)•PerformUpperendoscopy(EGD)
PPI Prophylaxis Prevents GI Bleed in Ventilated Patients August 9, 2024 August 2024 – ICYMI August 1, 2024 A Paradigm Shift in Evaluating and Investigating the Etiology of Bloating August 1, 2024 AGA Issues Guidance on Identifying, Treating Cyclic Vomiting Syndrome ...
BleedOnceagain,makesureptisresuscitatedIfanemicandsymptomatic,givebloodPlaceNGT/lavage(helpsforendoscopy)PerformUpperendoscopy(EGD)Forulcers:ifvisibleclot,visiblevessel,oractivebleeding,shouldcauterize/coagulateandinjectsclerosingagentForacutevaricealbleeding:sclerotherapy+somatostatinorendoscopicbandligation.Iffail/rebleed...
Slow bleed: black tarry stool Acute: vomiting bright red blood Digested: coffee ground emesis Monitor VS, watch for hypotension, tachycardia, monitor hemoglobin levels/hematocrit, occult blood, EDG More about PUD perforation? Can cause peritonitis ...
used to find GI bleed/infectiontag RBC/WBCs with radioactive isotopescheck for abnormal concentrations at 24-48 hr intervals What are characteristics of Motility studies? assess gastric emptying and colonic transit timeliquid and solid components of meal tagged with radionucleotide markers What are ch...
GI bleed消化道出血 GastrointestinalBleeding LisaN.Flemmons,ACNP-BCVanderbiltUniversityMedicalCenterMedicalIntensiveCareUnit Objectives •Learnhowtoeffectivelyevaluateandmanagegastrointestinalbleedinginthecriticallyillpatient•Distinguishuppergastrointestinalbleedingfromloweranddiscusspossibleetiologies•Understanddiagnostic...
stress•HistoryofHelicobacterpylori&treatment•Alcoholabuse–Retching->MalloryWeisstear–Alcoholiccirrhosis->portalhypertensionandvarices•OnPhysicalExam,assesshydration•Lookforstigmataofcirrhosis&portalHTNUpperGIBleedingA7Management–AcuteUGIBleed•Onceagain,makesureptisresuscitated•Ifanemicandsymptomatic,give...
Pre-endoscopy 56% gave PPI infusions, while 6% said they never used them pre-procedure. Only 13% used IV erythromycin as a prokinetic agent. Where we received more than 1 reply from some hospitals there were discrepancies in those replies suggesting a lack of uniform approach internally. ...