Gastrointestinal Bleeding Flashcards
1
Q
What are the landmarks for the Upper and Lower GI Tract?
A
The ligament of Treitz
Proximal to this ligament is considered the upper GI Tract
Distal to this ligament is considered the lower GI tract
2
Q
What causes Upper Gi Bleeds?
A
PUD
Mallory Weiss Tears
Erosive Gastritis
3
Q
What are the two most common presentations of upper Gi bleed?
A
Hematemesis and Melena
4
Q
What is the gold standard for diagnosing upper Gi bleed?
A
Endoscopy
5
Q
What is the gold standard medication for severe bleed management?
A
Omeprazole/Pantoprazole IV mg Bolus + 8mg continuous infusion
6
Q
How do you go about treating a lower Gi Bleed?
A
largely dependent on underlying mechanism of injury
get a colonoscopy
labs are not always indicative or useful
