Risk Stratification in Upper GI Bleeding

 We encounter patients with upper GI bleeding frequently. While some of these are obviously ill and in need of urgent intervention and/or admission, others appear well and we might consider sending them home - but how do we decide who is low risk enough to discharge? Is there an evidence based approach to risk stratify patients with upper GI bleeds?

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Advanced Practice: Stercoral Colitis with Obstructive Acute Kidney Injury

An elderly female patient presents with abdominal pain and distention with no bowel movement in 1 week. Labwork shows a Cr of 8 from baseline of 1 with a normal lactate.  Click for further information about her diagnosis. 


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