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CCFP Version 1 > GI Bleed > Flashcards

GI Bleed Flashcards

1
Q

Causes of UGIB in adults

A

Varices
Ulcer
Gastritis
Cancer

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2
Q

Causes of GI bleed in peds

A

Cow’s milk allergy
Polyps
Meckel’s diverticulum
IBD
Anal disease

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3
Q

Sx of variceal bleed

A

Massive bleed, painless
Jaundice
Hepatomegaly

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4
Q

Rx for variceal bleed

A

Variceal ligation
Transjugalar intrahepatic portossystemic shunt (TIPS)
Balloon tamponade

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5
Q

Sx/ hx of ulcer bleed

A

NSAID use
Dyspepsia, bloating, heart burn
Gastric: pain after meals
Duodenal: pain 2-3 hrs after meals, wakes at night

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6
Q

Sx of mallory weiss bleed

A

Hematemesis + melena
Hx of alcohol use
Hepatomegaly

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7
Q

Rx of mallory weiss bleed

A

NG PRN
Endoscopy + injection/ clips

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8
Q

What score to risk stratify pts

A

Glasgow Blatchford score

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9
Q

management

A

fluid + blood resus, pantoprazole 80mg bolus + 8mg/hrIV infusion over 72 hrs, stop anticoagulants, reverse anticoagulants (PPC – Octeplex), endoscopy ASAP, abx - ceftriaxone

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10
Q

management of GI bleed in alcoholic

A

octreotide 50mcg bolus then 50mcg/hr infusion

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11
Q

grading of internal hemorrhoids

A

Grade 1 - no prolapse
Grade 2 - prolapse with spontaneous reduction
Grade 3 - prolapse with manual reduction
Grade 4 - permanently prolapsed with no manual reduction possible

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12
Q

Causes of LGIB

A

Fissure/ hemorrhoids
IBD
Angiodysplasia
Cancer
Diverticular

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13
Q

Melena type stool - what else could it be?

A

Pepto bismol, beets, iron

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14
Q

How to deprescribe PPI

A

review annually, stop/ taper, step down to ranitidine, reduce to on demand, intermittent, lower dose

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15
Q

Rx for hepatic encephalopathy

A

lactulose, rifampin

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16
Q

What to give to reduce blood in GIB

A

add erythromycin as prokinetic

17
Q

What to give as reversal agent for a) warfarin b) heparin c) dabigratran

A

a) vit K b) protamine + FFP c) praxbind

CCFP Version 1 (67 decks)

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