17 - GI bleeds Flashcards
1
Q
5 most common causes of UGIBs
A
- ulcers
- varices
- mallory weiss tear
- gastritis
- esopagitis
2
Q
what to do with ulcers
A
test and treat for H.pylori
3
Q
cuases of UGIBs in infants and toddlers
A
- ingestion of FB
- esophagitis
- gastritis
- ulcers
- coagulopathy
- cow’s milk allergy
- congenital malformation
- mallroy -weis tear
4
Q
5 most common causes of LGIBs
A
- diverticulosis
- angiodysplasia
- neoplasm
- IBD
- anorectal disease
5
Q
presentations
A
varies - anemia - fatigue - emesis - melena -
6
Q
Hx things to ask for GIB
A
- Sx or risks
- protracted wretching or vomiting
- features of malg
- previous Hx
- liver disease or alc
- surgical Hx
- med review - anticoag, NSAIDS, ASA
7
Q
3 things to look for on PHx
A
1 mental status
- FOBT
- stigmata of liver disease
8
Q
bloods for GIB
A
- cbc
- INR/PTT
- group and screen
- BUN/Cr
- LFTs
repeat in 4 hours
9
Q
2 images
A
- abdoXR - for perfs
2. CT
10
Q
mgmt of bleeds
A
- ABC
- IVs
- crystalloids
- prep for blood transfusions
- vit K and FFP if INR high
11
Q
meds for GI bleeds
A
- PPIs for ulcers
- octreotide and somatostatin
- vasopressin for variceal bleeds
- promotility of have high amount of blood in gut
12
Q
what is gold standard for Dx
A
- endoscopy
- can Dx and band or treat
13
Q
when to use CT radionucleotide imaging
A
when can’t endo for some reason
14
Q
when to surgery
A
unstable PT not respnding to resus
15
Q
cutoffs to give blood
A
healthy - 70
elderly - 100
