gi bleeding

Question 1

Young with diarrhoea, mucus in stool and hematochezia (PR passage of fresh blood)

Answer 1

IBD

Question 2

Older with left iliac fossa pain and hematochezia

Answer 2

Diverticulitis

Question 3

Profuse vomiting with no blood initially but later vomits with streaks of fresh blood

Answer 3

Mallory Weiss Tear

Question 4

Jaundice or liver disease with hematemesis (vomiting blood)

Answer 4

Oesophageal varices

Question 5

Dyspepsia and coffee ground vomit

Answer 5

PUD

Question 6

Fevers, bloating, acute D/V and hematochezia

Answer 6

Dysentery, infective colitis

Question 7

Recent travel with dysentery

Answer 7

Infective colitis

Question 8

Tenesmus, perianal itch and constipation with hematochezia

Answer 8

Hemorrhoids

Question 9

Proctalgia (pain around rectum/anus), constipation and blood on wiping after passing stool

Answer 9

Anal fissure

Question 10

Older patients

Answer 10

More likely to have malignancies

Question 11

B- symptoms (fever, weight loss, night sweats) and GI bleed plus:
Dysphagia
Altered bowel habits, tenesmus

Answer 11

Oesophageal cancer

Colorectal cancer

Question 12

PMH Malignancy

Answer 12

Bleeding from recurrent or metastasized tumor

Question 13

PMH Known reflux or oesophagitis

Answer 13

Risk of cancer

Question 14

PMH PUD

Answer 14

Recurrent ulcer

Question 15

PMH H. pylori infection

Answer 15

Ulcers and gastric cancer

Question 16

PMH Liver cirrhosis

Answer 16

Varices

Question 17

PMH GORD

Answer 17

Barrets oesophagus

Question 18

PMH Previous surgeries

Answer 18

Post-op complications or malignancy that has recurred/metastasised

Question 19

IBD

Answer 19

Possible flare up but a risk factor for cancer (due to inflammation and immunesuprression