8.4 Upper GI Bleeding

Question 1

AUGIB

Answer 1

Acute Upper GI Bleeding

Question 2

Most common cause of GIB

Answer 2

Peptic ulcer (non-variceal upper GIB)

Question 3

Clinical menifestatioms

Answer 3

Hematemasis
Coffee-grounds vomiting
Black and tarry stool (melena)

Question 4

Melana

Answer 4

Black and tarry stool

Question 5

Clinical manifestations:
(BUN) Blood urea nitrogen levels, blood pressure, pulse
increase/decrease

Answer 5

Bun increase
BP decrease
Pulse increase

Question 6

PR exam
Purpose
Position

Answer 6

Per rectal exam
Check for stool color
Left lateral

Question 7

Malory-Weiss tear

Answer 7

Esophageal gastric junction have bleeding

Question 8

Management of AUGIB aims

Answer 8

Stop bleeding
Restore CV stability by volume resuscitation
Prevent recurrent bleeding

Question 9

Golden standard

Answer 9

Endoscopic therapy

Question 10

Aims of assessment on first stage of pre-endoscopic treatment

Answer 10

To determine etiology and/or complications related to

Question 11

Normal adult U/O

Answer 11

> =30mL/min

Question 12

At least __ __-__G IV cannula

Answer 12

Two 16-18G

Question 13

Why Restrictive transfusion

Answer 13

Less recurrent bleeding
(<=7-8g/dL Hb)