GI bleeds Flashcards
1
Q
Acute Upper GI- Eti
A
- 50% > 60
- Self limited in 80%
- Ulcers (NSAIDs), esophageal varices, mallory weiss tears
2
Q
Acute Upper GI- Sx
A
Hematemeisis- bright red or coffee grounds
- Melena
- Postural hypotension & tachycardia
3
Q
Acute Upper GI- Dx
A
- Assess volume status
- Endoscopy
4
Q
Acute Upper GI- Tx
A
- Packed RBCs if nexxessary
- Desmopressin
- PPIs
5
Q
Acute lower GI- Eti
A
- Less common, arise in colon
- older men
- 50 = diverticulosis, angiectasias, malig.
6
Q
Acute lower GI- Sx
A
Hematochezia- BRB per rectum
7
Q
Acute lower GI- Dx
A
Colonoscopy on stable pt
8
Q
Acute lower GI- Tx
A
- PPIs
- Embolization- cautery, epi, clips
9
Q
Occult GI- Eti
A
- GI bleed not apparent
- Iron deficiency anemia
- Premenopausal women
- Can occur anywhere in GI tract
10
Q
Occult GI- Sx
A
- Incidental finding on FOBT
- No change in stool
11
Q
Occult GI- Dx
A
- Colorectal ca screening
- Celiac work up
12
Q
Occult GI- Tx
A
Tx underlying cause- commonly remains unexplained
