Acute GI Bleed Flashcards
1
Q
What are the main causes? (6)
A
Peptic Ulcer, Mallory Weiss Tear, Oesophageal Varices, Gastritis/Oesophagitis, Drugs (NSAIDs), Malignancy
2
Q
Who does it affect?
A
Mostly elderly and fairly common
3
Q
Main Risk Factors: (5)
A
Dyspepsia, Ulcers, Liver disease, Drugs, Alcohol
4
Q
Symptoms (5)
A
Haematemesis (fresh & coffee ground), Malaena, Dizziness, Abdominal Pain, Dysphagia
5
Q
Signs (3)
A
Hypotension, Tachycardia, Reduced urine output (state of shock)
6
Q
What is the first line action?
A
Rescucitation
7
Q
Investigations:
A
Urgent endoscopy, monitor obs and urine output
8
Q
Main differential:
A
Malignancy
9
Q
Treatment (4)
A
IV saline, consider blood transfusion, Endoscopic haemostasis, IV PPI
10
Q
Complications (2)
A
Anaemia, death
