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Gastroenterologie > 19. gastrointestinale Blutung > Flashcards

19. gastrointestinale Blutung Flashcards

1
Q

(gastrointestinale Blutung)

Klassifikation

A

Forrest

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2
Q

(gastrointestinale Blutung)

Forrest-Klassifikation (3)

A

I: aktive Blutung

II: inaktive Blutung

III: Läsion ohne Blutungszeichen

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3
Q

(gastrointestinale Blutung)

Forrest I (2)

A

Ia: arterielle spritzende Blutung

Ib: Sickerblutung

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4
Q

(gastrointestinale Blutung)

Forrest II (3)

A

IIa: Läsion mit sichtbarem Gefäßstumpf

IIb: Koagelbedeckte Läsion

IIc: Hämatinbelegte Läsion

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5
Q

(gastrointestinale Blutung)

Leitsymptome (2)

A
  • Hämatemesis (blutiges Erbrechen)
  • Meläna (Teerstuhl)
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6
Q

(gastrointestinale Blutung)

Bildgebung der Wahl

A

ÖGD

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7
Q

(gastrointestinale Blutung)

Therapieentscheidung (2)

A

Forrest I: PPI i.v. + endoskopisch hämostatische Therapie

Forrest II und III: PPI i.v. + Vasokonstriktoren i.v. über Perfusor (bei variköser Blutung)

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8
Q

(gastrointestinale Blutung)

endoskopisch hämostatische Therapie: Möglichkeiten (4)

A
  • Unterspritzung
  • Sklerosierung
  • Ligatur
  • Koagulation
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9
Q

(gastrointestinale Blutung)

Vasokonstriktoren (3)

A
  • Octreotid
  • Terlipressin
  • Somatostatin
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10
Q

(gastrointestinale Blutung)

A
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11
Q

(gastrointestinale Blutung)

A
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12
Q

(gastrointestinale Blutung)

A
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13
Q

(gastrointestinale Blutung)

A
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14
Q

(gastrointestinale Blutung)

A
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Gastroenterologie (36 decks)

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