The Gastroenterology Consult Primer

Guide to Calling a GI Consult

HPI:

 - Start with reason for consult 

 - I-liner summary 

 - Symptoms: Melena, hematemesis, hematochezia 

 - Reason for admission (if different) 

Date: 

 - Vitals 

 - Notable physical exam findings (rectal exam) 

 - CBC 

 - Coags, LFTs, lipase 

PMH:

 - Focus on prior GI/Liver History 

 - Prior endoscopy & endoscopist 

 - GI surgeries 

 - Other PMH: Cardiac/pulm/oncologic 

Meds:

 - Antiplatelet & AC/ NOACs 

 - NSAlDs 

Course:

 - NPO status, time of last meal 

 - Treatment started (PPI IV, octreotide, antibx) 

 - Transfusions 



Gregory Brennan MD https://twitter.com/GregoryTBrennan



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