GI BLEEDING

Question 1

Types of GI BLEEDING

Answer 1

UPPER GI BLEEDING
LOWER GI BLEEDING

Question 2

What is UGIB

Answer 2

GI Bleeding above ligament if Treitz
Esophagus
Stomach
Duodenum

Question 3

Causes of UGIB

Answer 3

ESOPHAGEAL VARICES
MALLORY WEISS TEARS
ESOPHAGITIS
ESOPHAGEAL CANCER
GASTRIC
PEPTIC ULCERS DISEASE (PUD) most common
DIEULAFOY’S LESION
GASTRIC CANCER
AORTOENTERIC FISTULA

Question 4

SYMPTOMS OF UGIB

Answer 4

HEMATEMESIS
MELENA

Question 5

What is LGIB

Answer 5

GI bleeding bellow ligament of Treitz
Jejunum
Ileum
Colon
Rectum
Anus

Question 6

CAUSES OF LGIB

Answer 6

INFLAMMATORY BOWEL DISEASE (IBD)
ARTERIOVENOUS MALFORMATION (AVM)
DIVERTICULOSIS (most common)
COLORECTAL CANCER
HEMORRHOIDS

Question 7

SYMPTOMS OF LGIB

Answer 7

HEMATOCHEZIA
LEFT LOWER QUADRANT PAIN
TENESMUS (Stool urgency)

Question 8

General complications of GI bleeding

Answer 8

Anemia
Hypovolemic shock

Question 9

Diagnosis

Answer 9

1) SYMPTOMS
2) GED
- shows UGIB
3) COLONOSCOPY
- shows LGIB
4) TAGGED RBC SCAN
- Shows intermittent bleeds
5) CT ANGIOGRAM
Identify bleeding vessel, location& cause
6) PUSH ENTEROSCOPY/ CAPSULE ENDOSCOPY (magnetic pill)

Question 10

TREATMENT

Answer 10

1) RESUSCITATION
Stabilizing hemodynamics
2) ACID SUPPRESSION TREATMENT
PPI
3) OCTREOTIDE
For esophageal varices
4) SURGERY