Template:UGIB evaluation - Revision history

Rossdonaldson1 at 22:17, 7 February 2024

2024-02-07T22:17:13Z

← Revisión anterior		Revisión del 22:17 7 feb 2024
Línea 25:		Línea 25:
	**[[Erythromycin]] 200mg IV can provide equal endoscopy conditions as lavage<ref>Huang ES et al. Impact of nasogastric lavage on outcomes in acute GI bleeding. Gastrointest Endosc. 2011;74(5):971-980.</ref>		**[[Erythromycin]] 200mg IV can provide equal endoscopy conditions as lavage<ref>Huang ES et al. Impact of nasogastric lavage on outcomes in acute GI bleeding. Gastrointest Endosc. 2011;74(5):971-980.</ref>

	==Diagnosis==		===Diagnosis===
	*Endoscopy frequently required for definitive diagnosis		*Endoscopy frequently required for definitive diagnosis of underlying etiology

Rossdonaldson1 at 22:16, 7 February 2024

2024-02-07T22:16:53Z

← Revisión anterior		Revisión del 22:16 7 feb 2024
Línea 24:		Línea 24:
	**Provides useful information in only minority of patients without hematemesis		**Provides useful information in only minority of patients without hematemesis
	**[[Erythromycin]] 200mg IV can provide equal endoscopy conditions as lavage<ref>Huang ES et al. Impact of nasogastric lavage on outcomes in acute GI bleeding. Gastrointest Endosc. 2011;74(5):971-980.</ref>		**[[Erythromycin]] 200mg IV can provide equal endoscopy conditions as lavage<ref>Huang ES et al. Impact of nasogastric lavage on outcomes in acute GI bleeding. Gastrointest Endosc. 2011;74(5):971-980.</ref>

			==Diagnosis==
			*Endoscopy frequently required for definitive diagnosis

Elcatracho: /* Workup */

2021-01-21T09:27:09Z

Workup

← Revisión anterior		Revisión del 09:27 21 ene 2021
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	===Workup===		===Workup===
	*2 large bore IVs		*2 large bore IVs (or [[sheath introducer]])
	*Type and cross		*Type and cross
	*CBC & serial hemoglobin		*CBC & serial hemoglobin

ClaireLewis at 20:40, 29 September 2019

2019-09-29T20:40:17Z

← Revisión anterior		Revisión del 20:40 29 sep 2019
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	**BUN/creatinine >30 suggests UGI if no history of renal failure (increased absorption/digestion of hb)		**BUN/creatinine >30 suggests UGI if no history of renal failure (increased absorption/digestion of hb)
	*Coags		*Coags
	*LFTs		*[[LFTs]]
	*Fibrinogen		*Fibrinogen
	*Guiac		*Guiac
	**More useful for diagnosing chronic occult bleeding (it could be positive for up to 2 weeks after an acute bleed)		**More useful for diagnosing chronic occult bleeding (it could be positive for up to 2 weeks after an acute bleed)
	**False-positive: vitamin C, red meat, methylene blue, bromide preparations, turnips, horseradish		**False-positive: vitamin C, red meat, methylene blue, bromide preparations, turnips, horseradish
	*ECG (if >40 yo or if suspicious for silent MI, especially from demand ischemia)		*[[ECG]] (if >40 yo or if suspicious for silent MI, especially from demand ischemia)
	*CXR (if suspect perforation)		*[[CXR]] (if suspect perforation)

	===NG Lavage Controversy===		===NG Lavage Controversy===

Beren85: /* Workup */

2019-08-27T18:25:15Z

Workup

← Revisión anterior		Revisión del 18:25 27 ago 2019
Línea 9:		Línea 9:
	*Fibrinogen		*Fibrinogen
	*Guiac		*Guiac
	*ECG (if >50 yo or if suspicious for silent MI)		**More useful for diagnosing chronic occult bleeding (it could be positive for up to 2 weeks after an acute bleed)
			**False-positive: vitamin C, red meat, methylene blue, bromide preparations, turnips, horseradish
			*ECG (if >40 yo or if suspicious for silent MI, especially from demand ischemia)
	*CXR (if suspect perforation)		*CXR (if suspect perforation)

Rossdonaldson1: Created page with "===Workup=== 2 large bore IVs Type and cross CBC & serial hemoglobin Chemistry **BUN/creatinine >30 suggests UGI if no history of renal failure (increased absorption/diges..."

2018-09-23T22:16:55Z

Created page with "===Workup=== *2 large bore IVs *Type and cross *CBC & serial hemoglobin *Chemistry **BUN/creatinine >30 suggests UGI if no history of renal failure (increased absorption/diges..."

Página nueva

===Workup===
*2 large bore IVs
*Type and cross
*CBC & serial hemoglobin
*Chemistry
**BUN/creatinine >30 suggests UGI if no history of renal failure (increased absorption/digestion of hb)
*Coags
*LFTs
*Fibrinogen
*Guiac
*ECG (if >50 yo or if suspicious for silent MI)
*CXR (if suspect perforation)

===NG Lavage Controversy===
*'''Pros'''<ref name="ali">Aljebreen AM et al. Nasogastric aspirate predicts high-risk endoscopic lesions in patients with acute upper-GI bleeding. Gastrointest Endosc. 2004;59(2):172-178.</ref>
**Positive aspirate proves strong evidence for an upper GI source of bleeding
**Can assess presence of ongoing active bleeding
**Can prepare patient for endoscopy
*'''Cons'''<ref name="ali"></ref>
**Uncomfortable
**Negative aspirate does not conclusively exclude upper GI source
**Provides useful information in only minority of patients without hematemesis
**[[Erythromycin]] 200mg IV can provide equal endoscopy conditions as lavage<ref>Huang ES et al. Impact of nasogastric lavage on outcomes in acute GI bleeding. Gastrointest Endosc. 2011;74(5):971-980.</ref>