Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Alimentory System > Acute GI bleed > Flashcards

Acute GI bleed Flashcards

1
Q

what is thel and mark to distigquis the upper gi bleed and lower gi bleed

A

ligament of trizetz , just after the duodenum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ligament of treitz connects

A

stomahc to edn point of the duodenum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is seen in upper gi bleed

A

haematemeis
malena
elvevated urea
dyspepsia nad epigastic pain
non steroidal anit inflatorys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is seen in lower gi bleed

A

fresh blood,
magenta stools
normal urea
painless
more common in advanced age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

causes of upper gi bleed in osephagus

A

osepuga
- ulcer
osepguaists
osgpuagla varices

mallory weiss tar
malignacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

causes of bleed in stomach

A

stomach
ulcer
gastitus
varcies
malginacy
diulafoy
angiodysplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

casues of bleed in the duodenum

A

angiodysplasia
duodenal ulcer
duodenitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is mallory weiss tera

A

damge to wall of the ospahgus, that tedns to treat itsel with ssacar tissue but cause large amount of bleeding, can be after retching and vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is angiodyphagia

A

vascular malformgion, occurs anywerh itn teh gi tube, and can cuase non visible bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is angiodusplai assoiced with

A

chonc condios such as heartvalve repalcement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is dieulafoy

A

submosua arterkola vessle eroding though gsatic fundus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

most common type of acute gi bleed

A

peptic ulcer, gastitis, ophagus, errosive duodena and verices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what isthe presentiang complaitn asosiced with pepitc ulcer bleeed

A

dypepsia, colape, poor urine output large volume meleman, or heamtis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the past medical history of peptic ulcer bleed

A

liver diseas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what isthe drug hisoty of peptic ulcer bleed

A

nsaids, anticolagia anti platelet agents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the social hisotory assoiced with peptic ulcer bleed

A

alcho, smoking, ivdu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what ishte family history assoiced with peptic ulcer bled

A

h pylori and family memebr swith peptic uclers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is zollinger ellison sydnodm

A

ganstin sectioern pancratic tumoru, cuase redoccure duodenal ulcers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how to diagnos gastic ucler sitting over gastic cancer

A

repeat endocy at 8 weeks for anyone with a gastic ulcer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

medication that makeupper gastits more likely

A

anti cogaloians
anti plateltes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

risk factos for ospghual bled

A

bisphospahates
alchol
hitaut
herna
gord
systemic ilnes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what percent of varcies are osphgaual

A

90%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

cause of lower gi bleed in colonic paitens

A

diverticulatis disaesr
hamorroids
vasuclar malformations
neplasia
ishcmia colitis
ration / enteropya procitis
ibvs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is diffenrce between sigmodi socpy and colonoscoly

A

length, sigmodisocpy just colon

25
Q

what is diverticular diseae

A

protusion of inner mucla lining though teh outer muclar layer forming a poch

26
Q

what are seeni in diclar disase

A

inflation and occusonbleeing

27
Q

what is hameorooids

A

enlaged vascualr cusion aroudn anal canal

28
Q

what caus harod to be painful

A

if they are thormbosed or exposed

29
Q

what cuase hamotide

A

low fiber, hihg fat dieta and consipion

30
Q

what is the treatment for haotis

A

elective surgy

31
Q

how much bleeding is from colonc nepolasy

A

large anmont of bleeding can occur

32
Q

what is ishcmia coloitis

A

distucito of blood flow to colon due to venous conjuseion,

33
Q

wher does ischemic clolits normally effect

A

desceing / sigmod colon

34
Q

sympon fo iscm coliginss

A

crampy abomail pain

35
Q

what is cuase of radiation proctitis

A

cervial cancr or prosta cancer radiotharpyy treatmnet

36
Q

what is th treatmnet for radiation procitis

A

blood tranfusions
apc (ionised gas to parts of digestive tract)
sulcrafate enemas - helps to form protective coat on gi tract
hyperbaric oxygen

37
Q

what is uc or chons diseas assoiced with

A

bleedin and diharrea symptons

38
Q

what is the small bowl cause that can cause lower gi bleed

A

meckels diverticulum
small bowel angiodysplasia
small bwl tumour
small bowel fistulation (after aaa repari)
small bowel ucleration (nsaids)

39
Q

merckels diverticulum

A

small pocket that is misformed bowel or connection to other bowel.

40
Q

what investivagion cna be done to look for smal gi bleed

A

meckels scna (
capsule endocpy
double ballon endocpys
ct antiongigarmm

41
Q

fucniton of duouble baloon endocpy

A

aloows you to move bowl, so you don’t need to take full bolwe length

42
Q

what is meckels scan

A

looks for abdomalr gastic mucosa

43
Q

what needs to be done to manage cirucation ni acute gi bleed

A

iv bore
urgent blood samles
blood trnafiohn
catherter to mesuare urine output

44
Q

what are signs of shock

A

high resp rate
rapid pulse
anxitety or confusion
cool clammy skin
low urine output
low bp

45
Q

what are the 4 classes of shock and blood los assoicaed with them

A

1 - less than 750 ml
2 - 750 - 1500
3 - 1500- 2000
4 >2000ml

46
Q

what is the score for upper gi bleed

A

ugib , roakall score
glasgow blatford score

47
Q

disadvage of rocker socre

A

needs endocpy for full socre

48
Q

benfifis of glasoglw blatfo score

A

does not reuire endocopy

49
Q

what is included in glasgow blatfoc score

A

urea
haemoglobing
systolic blood pessue
pulse
absocel of melaena , sycome and cardiac faure

50
Q

what is the rockwall score componatns

A

Age
Features of shock (e.g., tachycardia or hypotension)
Co-morbidities (2 doubles risk)
Cause of bleeding (e.g., Mallory-Weiss tear or malignancy)
Endoscopic findings of recent bleeding (e.g., clots and visible bleeding vessels)

51
Q

how long to do a upper gi endocpy

A

within 24 hours once stable

52
Q

how long to do a colonospcy

A

colonoscpy or ct angiogram

53
Q

what addinoal medication can help with gi bleed

A

ppi and coagulatins

54
Q

treatment for peptic ulcer bleeed

A

endosocpy, ppi, angiograpty with empbolsion, laparotomy, adrenaline treaptmen, mechanical clip

55
Q

treamnt of varices bleed

A

terlipresin, antibioci, reverse abnoarmy coaguation, senstaken blackermore tube, tipps

56
Q

what is th role of terlipressin

A

vasocontstitor to the splanic blood supply , reduce blood flow to porar vein reducing portal pressures

57
Q

what is tipss

A

transjugualr intrahepatic portosystmeic shunt (shunt that goes over from portal vein to veina cava, reducing portal hypertions

58
Q

what is a shenstaken blakemore tube

A

a tube infserted into nose, that inflates ballon in stomach and in the lower oepsgua stand comes bleeding

Alimentory System (31 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions