GI - GI Bleed Flashcards
0
Q
On the form of GI bleeding which can be determined by physical exam?
A
Variceal bleed
1
Q
Most common cause of upper G.I. bleed? Lower G.I. bleed?
A
Ulcers; diverticulosis
2
Q
Order to treat GI bleed?
A
- Fluid
- pRBC if HCT under 30 in old/CAD
- FFP if PT/INR elevated
- Platelets if below 50K and active bleed
- Octreotide if variceal
- EGD
3
Q
When to do nuclear bleeding scan?
Angiography?
Capsule endoscopy?
CT/MRI?
A
Endoscopy shows nothing in massive acute bleed
Need to find vessel for surgery in massive unresponsive hemorrhage
Nothing seen with upper and lower endoscopy
Not useful
