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block 15 anna > lecture 9 GI blood loss > Flashcards

lecture 9 GI blood loss Flashcards

1
Q

what is the most common GI bleed

A

upper GI - oesophagus, stomach and duodenum

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2
Q

how do people with GI bleeds usually present

A

anaemia

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3
Q

acute GI bleed presentation

A

Haematemesis, Melaena, Shock and pr bleed

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4
Q

chronic GI bleed presentation

A

Anaemia and Positive FOB

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5
Q

what is a test for blood in the poo

A

FOB

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6
Q

most common cause of upper GI

A

peptic ulcer

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7
Q

small bowel bleed cause

A

jejunum or ileum diverticulum

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8
Q

large bowel cause of the bleed

A

angiodysplasia or diverticulum

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9
Q

what is angiodysplasia

A

fragile small vessels

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10
Q

actual most common cause of bleeding

A

haemorrhoids

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11
Q

stopping bleeding by endoscopy

A

clips
adrenaline
APC
heater probe

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12
Q

how long after stopping bleeding by endoscopy can you eat

A

4 hours

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13
Q

Mallory weiss tear

A

tearing the oesophagus from vommiting

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14
Q

venous bleed

A

Varicocele bleed

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15
Q

Meckel’s diverticulum

A

embryonic remnant

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16
Q

how can meckel’s diverticulum present

A

melena

17
Q

early satiety

A

feeling full very quickly

18
Q

how may you see anaemia

A

look in the eyes

pale creases of the hand

19
Q

what could you use to see how well the kidneys are being perfused

A

cathetar

20
Q

black spot on an ulcer

A

clot

21
Q

what would you do with a polyp

A

cut it and clip it

22
Q

what kind of a bleed would you get with liver disease

A

varicoele

23
Q

signs of liver disease

A

spider naevi, dupuytren’s contractures and palmar erythema

24
Q

what is dupuytrens contractures

A

contraction of the fingers

25
Q

preassure of a varicoele bleed

A

low

26
Q

what do you have to be cautious of with liver disease and bleeding

A

supplement their clotting factors

27
Q

what can you give to stop and varicoele bleed

A

vasopressin

28
Q

what procedures can you do for varicoele bleed

A

sclerotherapy and banding

block 15 anna (15 decks)

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