The Curbsiders Internal Medicine Podcast

#355 GI Bleed with Dr. Tanvi Dhere

33 snips
Sep 19, 2022
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INSIGHT

Thorough History in Upper GI Bleed

  • A comprehensive history and physical exam are crucial to identify causes of upper GI bleeding.
  • Risk factors like NSAID use, liver disease, and prior surgeries must be considered.
ADVICE

Avoid Guaiac Testing Inpatient

  • Avoid guaiac stool testing in inpatient GI bleed evaluation as it often misleads.
  • Rely on history, physical exam, and labs to diagnose upper GI bleeding effectively.
ADVICE

Glasgow Blatchford for Risk

  • Use Glasgow Blatchford score to risk-stratify upper GI bleed patients for admission.
  • Patients scoring zero have low risk and may be safely discharged with close follow-up.
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