Acute Lower GI Bleeding - Management and Risk Stratification

Acute Lower GI Bleeding - Management and Risk Stratification

Send us Fan Mail [https://www.buzzsprout.com/2515307/fan_mail/new] In the management of acute lower gastrointestinal bleeding (LGIB), CT angiography (CTA) is preferred over colonoscopy in the following specific clinical scenarios: Haemodynamic Instability: CTA is recommended for patients who remain haemodynamically unstable or have a shock index >1 (heart rate divided by systolic blood pressure) after initial resuscitation. Ongoing Active Bleeding: It is the preferred initial investigation when there is suspected ongoing, active bleeding, such as the continued passage of large clots or a rising transfusion requirement. Brisk Bleeding: CTA is indicated when bleeding is too brisk to allow for a safe colonoscopy or when the severity of the hemorrhage makes bowel preparation unfeasible. Failed Colonoscopy: If a prior colonoscopy has failed to identify or treat the source of the bleeding, CTA is used as the next diagnostic step to localise the site. Listen in to explore more.  Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents.  DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscribe.  Support the show [https://www.buzzsprout.com/2515307/support] Quick discussion and review of topics that interests you.

Management and Classification of Stoma Complications

Send us Fan Mail [https://www.buzzsprout.com/2515307/fan_mail/new] The primary differences between early and late stoma complications center on their timing, the specific conditions that develop, and the clinical focus of their management. Timing and Classification Early complications occur in the immediate postoperative period, typically within 30 days of the procedure. Late complications usually arise much later, ranging from months to years after the initial surgery. Types of Complications Early conditions are often related to the surgery itself or the immediate healing process. These include ischaemia and necrosis, stomal oedema, mucocutaneous separation, parastomal abscesses, and high-output states. Late conditions are often structural or functional changes over time. The most frequent late complication is parastomal hernia, which affects 30–50% of patients within two years. Other late issues include prolapse (telescoping of the bowel), stenosis (narrowing at the skin or fascia level), and the development of fistulae or varices. Listen in to explore more.  Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents.  DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscribe.  Support the show [https://www.buzzsprout.com/2515307/support] Quick discussion and review of topics that interests you.

Management of Acute Upper Gastrointestinal Bleeding

Send us Fan Mail [https://www.buzzsprout.com/2515307/fan_mail/new] When a patient presents with Upper Gastrointestinal Bleeding (UGIB), the primary clinical priorities are focused on stabilization, assessment of severity, and timely intervention to control the hemorrhage. Listen in to explore more.  Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents.  DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscribe.  Support the show [https://www.buzzsprout.com/2515307/support] Quick discussion and review of topics that interests you.

The Glasgow-Blatchford Score - UGI Bleed Risk Stratification

Send us Fan Mail [https://www.buzzsprout.com/2515307/fan_mail/new] Clinicians use the Glasgow-Blatchford Score (GBS) as a validated screening tool at the first point of assessment to identify which patients with a suspected upper gastrointestinal bleed (UGIB) are safe for discharge and which require hospital admission. Listen in to explore more.  Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents.  DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscribe.  Support the show [https://www.buzzsprout.com/2515307/support] Quick discussion and review of topics that interests you.

Anatomical Principles of Hartmann’s Procedure

Send us Fan Mail [https://www.buzzsprout.com/2515307/fan_mail/new] Creating a successful end colostomy—a key component of Hartmann’s procedure—requires careful anatomical planning to ensure the stoma is functional and free of long-term complications.  Listen in to explore more.  Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents.  DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscribe.  Support the show [https://www.buzzsprout.com/2515307/support] Quick discussion and review of topics that interests you.