GI Emergencies

Question 1

What is the septic 6 (used in all signs of sepsis not just GI)

Answer 1

GIVE

• O2,
• Fluid
• Abx

Take

• ABG and lactate (sign of metabolic acidosis from infection)
• Cultures
• Hourly urine
  *

Question 2

What does rebound tenderness indicate and what are the types?

What is the treatment?

Answer 2

Peritonitis

Primary - Associated with end stage renal disease or portal hypertension - get Spontaneous Bacterial Peritonitis

Secondary - Infection elsewhere eg appendicitis

Antibiotics (tazocin) +/- surgical resection

Question 3

What is the management of an obstruction?

When do you use surgery?

Answer 3

NBM

NG tube to such out fluid

Analgesia and fluids

Surgery:

Strangulation or closed loop. If not can use water soluble enemas

Question 4

What are some common causes of an upper GI bleed?

Answer 4

Peptic ulcer

Varices

Gastritis

Mallery Weiss Tear

Oesophagitis

Duodenitis

Question 5

What blood test can suggest upper GI bleed?

Answer 5

Raised urea with normal creatitine

This shows it is not the kidneys and that blood is being digeste

Question 6

What is the management of an upper GI bleed?

Answer 6

Airway

Fluid

Catheter

Endoscopy

CXR/ABG/ECG etc