GI Bleeding Flashcards
1
Q
- patient unaware of bleeding but has iron deficiency anemia or guaiac + stools
A
occult bleeding– focus on detecting CRC
2
Q
patient knows but unknown source
type of bleeding and most common cause?
A
obsecure bleed– angiodysplasias (AVM) of small bowel
3
Q
upper vs lower GI bleed
hematemesis
melena
hematochezia
A
puking blood– upper
dark stool– upper
bright red in poo– lower
4
Q
diagnostic tool for diagnosing GI bleed and when should you do it
A
endoscopy w/in 24 hrs of acute GI bleed after resuscitation if needed
5
Q
when do you use PPIs vs octreotide with bleeding
A
PPI– acute bleeding ulcers
octreotides– variceal bleeding
6
Q
clots in ulcer bed warrants what?
A
targeted attempts at dislodgement