GI BLEEDING

Question 1

The first thing to consider for a patient with GI bleed…..

Answer 1

is the treatment, not the etiology

Question 2

Upper GI bleed is most commonly caused by

Answer 2

1.ulcer disease,
2. gastritis,
3.Mallory-Weiss
syndrome
4., esophagitis, and
5. gastric cancer

Question 3

bleeding occurring proximal to …..

Answer 3

the ligament of Treitz

Question 4

Variceal bleed is common in

Answer 4

portal hypertension from cirrhosis

Question 5

Lower GI bleed is most commonly caused by

Answer 5

1. diverticulosis, 2.angiodysplasia
2. hemorrhoids,
3. cancer, and
4. IBD.

Question 6

clinical presentation

Answer 6

1. upper GI bleed presents with black stool or melena+- hematemesis
2. lower GI bleed presents with red blood in the stool

Question 7

Diagnosis

Answer 7

1. Endoscopy is the most accurate test to determine the etiology
2. biopsy
3. capsule enscopy to visualize small intestin

Question 8

TTT

Answer 8

1. initial management of severe GI bleeding is to
   begin fluid resuscitation
   2.Platelets should be transfused if platelet count <50,000/mm3

Question 9

TTT of esophageal varices

Answer 9

1.octreotide
2.endoscopy should be performed to place
bands around the bleeding varices(stricture)
3.TIPS (encephalopathy)
4.propranolol