Acute Lower Gastrointestinal Bleeding
Update: 2021-08-09
Description
This episode centers around acute, lower gastrointestinal bleeding. Diverticular disease is the most common cause of LGI bleeding. Most cases of LGI bleeding stop spontaneously. Risk factors for poor outcome include: hemodynamic instability on presentation, advanced age, coexisting conditions, the use of dual antiplatelet agents, and fresh blood on digital rectal exam. We also discuss resuscitation with crystalloid initial therapy. Transfusion should be limited to specific hemoglobin goals (~7-9 g/dl). Colonoscopies within 24 hours if patients stabilize.......Watch this presentation at https://www.youtube.com/watch?v=45t5inKsPPs
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