GIT BLEEDING

Question 1

Upper gastrointestinal bleeding: Upper GI bleeding originates in the first part of the GI tract-the ____________________-

.

Answer 1

esophagus, stomach, or duodenum (first part of the small intestine)

Question 2

___________________originates in the portions of the GI tract further down the digestive system-such bey**as parts of the small intestine **ond the duodenum, large intestine, rectum, and anus.

Answer 2

• Lower gastrointestinal bleeding: Lower GI bleeding

Question 3

What are the presentation of GIT bleeding?

Answer 3

PRESENTATION

1. Hematemesis:
2. Melena:
3. Hematochezia:
4. Occult GI bleeding (GIB):

Question 4

______________: vomitus of red blood or “coffee grounds” material

Answer 4

Hematemesis

Question 5

_________________: black, tarry, foul-smelling stool

Answer 5

Melena

Question 6

_____________: passage of bright red or maroon blood from the rectum

Answer 6

Hematochezia

Question 7

___________ may be identified in the absence of overt bleeding by a fecal occult blood test or the presence of iron deficiency

Answer 7

Occult GI bleeding (GIB):

Question 8

Symptoms of blood loss or anemia:

Answer 8

light headedness,

syncope,

angina,

dyspnea

Question 9

Question 10

UPPER GASTROINTESTINAL BLEEDING

Hospital admissions – _________

Mortality rate___________

with no comorbids: <1%

Answer 10

about 0.1%

5-10% <60 years old

Question 11

Death ______________

Answer 11

decompensation from underlying illnesses exsanguination

Question 12

Independent predictors of rebleeding and death in hospitalized patients: ________________

Answer 12

Increasing age Comorbidities

Hemodynamic compromise

• tachycardia
• hypotension