Acute GI bleed

Question 1

What is Lyme disease caused by + what is the main sign?

Answer 1

Tick borne infection caused by Borrelia burgdorferi

Causes bullseye rash (erythema migrans)

Question 2

How to confirm death

Answer 2

Response to verbal stimuli 
Response to pain 
Assess pupils (fixed + dilated)
Feel for carotid pulse 
Listen to heart sounds for 2 mins 
Listen to resp sounds for 3 mins

Question 3

How to confirm brainstem death?

Answer 3

Coma
Absence of brainstem reflexes
Apnoea

Question 4

What are the categories of a Rockall score?

Answer 4

Age 
Shock
Comorbidities 
Diagnosis 
Major stigmata of recent haemorrhage

Question 5

What is the Glasgow Blatchford score used for?

Answer 5

Predicts the need to treat pts with upper GI bleeding

Question 6

What is the management of an upper GI bleed?

Answer 6

Terlipressin
Thiamine + broad spec abx if alcohol induced
Fluids

Question 7

What is a sengstaken blakemore tube?

Answer 7

Used in upper GI bleeds as a balloon tamponade