GI bleeding

Question 1

Causes of GI bleed

Answer 1

• Esophagitis/esophageal erosion
• Mallory Weiss tear
• Peptic and duodenal ulcer
• Esophageal/gastric varices
• Erosive gastritis
• AV malformation
• GI tumor (benign and malignant)
• Diverticulosis
• Ischemic colitis
• Hemorrhoids
• Anal fissure

Question 2

Contributing factors to GI bleeding

Answer 2

• H. pylori
• NSAIDs
• Alcohol
• Cigarette use
• Coagulopathies
• Chronic liver disease

Question 3

PE in GI bleeding

Answer 3

• Postural BP and pulse
• Abdominal palpation for organomegaly, masses, tenderness
• Stigmata of chronic liver disease
• Anal and rectal exam

Question 4

Potential labs in GI bleed

Answer 4

• Stool and gastric fluid for occult blood
• CBC
• PT/PTT
• Hepatic function panel
• H. pylori test
• EGD
• Colonoscopy
• Barium studies of GI tract