Bleeding, Cholecystitis, Cirrhosis, Diverticulitis, Esophageal Varices Flashcards
bleeding above the ligament of treitz (bleeding from the esophagus, stomach or duodenum)
more common in males
UGIB
bright red blood in the vomit
hematemesis
small tears in the lining the esophagus that are usually related to retching
may be minor and stop bleeding w/o treatment or may require intervention
mallory - weiss tears
bleeding from the enlarged blood vessels w/in the esophagus nearly always related to liver disease
higher mortality rate of any cause of GI bleeding
esophageal varices
may be in the stomach or duodenum and usually related to hyperacidity, Pepsin or aspirin, inhibition or prostaglandins
may also be d/t infection by helicobacter pylori
ulcers
bleeding below the ligament of treitz (bleeding from the small bowel, large bowel or rectum)
more common in females
lower GIB
bright red blood in the stool
hematochezia
facilitates gastric lavage to remove the clots and to cleanse blood from the GI tract for endoscopic treatment)
gastric tube
generalized abrupt onset aching, cramping (LLQ)
abdominal tenderness
anorexia n/a
fever, elevated WBC
change in bowel habits (constipation or diarrhea)
perforation will cause signs of peritonitis
diverticulitis