Acute GI Bleeding Flashcards
Upper GI bleeding from…
oesophagus/stomach/duodenum
Lower GI bleeding from…
distal to duodenum
Differences in upper/lower GI bleeding?
haematemesis elevated urea and painless in upper but not present in lower
what is Diuelafoy?
submucosal arteriolar vessel eroding through mucosa which can bleed and haemorrhage
what is diverticular disease?
protrusion of the inner mucosal lining through the outer muscular layer forming a much
what is the management of GI Bleeding?
placement in HDI (if appropriate)
endoscopy within 24hrs or sooner
reverse meds (warfarin - vitamin K)
blood products if appropriate (platelets, transfusions)
haemorrhagic shock symptoms?
tachypnoea + tachycardia
anxiety or confusion
cool clammy skin
low urine output + BP