GI Emergencies Flashcards
UGIB defined as?
bleeding derived from a source proximal to the Ligament of Treitz (distal = LGIB)
UGIB can be categorized as?
variceal or non-variceal
varices are a result of what?
pressure from the liver (ex: cirrhotic liver)
common causes of UGIB?
PUD, esophagitis, gastritis, duodenitis, gastroduodenal erosions, Mallory Weiss tear, variceal bleed
what BUN/Cr ratio without renal insufficiency is suggestive of UGIB?
BUN/Cr ratio of 36:1 without renal insufficiency
what is the risk stratification for UGIB?
rockall scoring system
what may risk stratification for UGIB help guide?
appropriate timing of endoscopy
what is the rockall scoring system?
validated predictor of mortality in pts with UGIB
what are the variables of the rockall scoring system?
age, shock, comorbidity