GI Bleeds Flashcards
what is the most common cause of UGIB?
Peptic ulcer disease
-gastric > duodenal
what is other 2 GI diseases are common causes of UGIB (beside PUD)?
Boerhaave syndrome and Mallory-Weiss Syndrome
what is Boerhaave syndrome?
spontaneous rupture of the esophagus that typically occurs after forceful vomiting
what type of esophageal perforation occurs in Boerhaave syndrome?
TRANSMURAL
also distinguishes it from Mallory-Weiss Syndrome
what is mallory-weiss syndrome?
a NONTRANSMURAL esophageal tear associated with vomiting (commonly after a ETOH binge)
where does LGIB occur?
from the colon, distal to the ligament of treitz
does bleeding spot in LGIB?
usually stops spontaneously
common etiologies of LGIB?
diverticular bleed
what is the most common sx of LGIB?
PAINLESS BLEEDING
LGIB clinical manifestations
PAINLESS BLEEDING - M/C
Hematochezia (BRBPR)
Maroon colored stool w/blood
when do pts with gastric ulcer get pain?
get pain immediate (30min) after eating
what do pts with duodenal ulcer get pain?
awhile after they eat (I.e. 1 hour)
what is more common, UGIB or LGIB?
UGIB
how many people get UGIB annually?
100/100,000 annually
who gets UGIB more, men or women?
men
what does incidence of UGIB increase with?
increases with age
is there usually an identified source for UGIB?
Usually know source but 10-15% do NOT have an identified source
what is an anatomic cause of LGIB?
diverticular bleed
how does bleeding in LGIB usually stop?
spontaneously
common clinical presentation of UGIB?
BRB vs coffee ground vs melena
common clinical presentation of LGIB?
symptoms prior to bleeding;
- painless (diverticular bleeding)
- change in bowel habits (malignancy)
- abdominal pain, diarrhea (colitis)
