Acute GI Bleed (upper) Flashcards
1
Q
Aetiologies?
A
Peptic ulcer Gastritis Oesophagitis Duodenitis Varices NSAIDs Steroids Anti-coagulants Anti-thrombolytics
2
Q
Pathology?
A
Erosion of the gut wall –> exposure of vessels –> bleed
3
Q
Signs and Symptoms?
A
Haematemesis, melaena, dyspepsia
Shock, signs of liver disease, decreased urine output, decreased GCS, on causative drugs
4
Q
Investigations and Findings?
A
Urgent endoscopy Test for H. pylori Chest X-ray ABG FBC Clotting
5
Q
Management?
A
Treat shock first
PPI therapy pre surgery
Varice ligation, Cyanoacrylate injection, Balloon tamponade
6
Q
Complications?
A
Recurrence is common
Death by hypovolaemic shock
