lecture 9 GI blood loss Flashcards
what is the most common GI bleed
upper GI - oesophagus, stomach and duodenum
how do people with GI bleeds usually present
anaemia
acute GI bleed presentation
Haematemesis, Melaena, Shock and pr bleed
chronic GI bleed presentation
Anaemia and Positive FOB
what is a test for blood in the poo
FOB
most common cause of upper GI
peptic ulcer
small bowel bleed cause
jejunum or ileum diverticulum
large bowel cause of the bleed
angiodysplasia or diverticulum
what is angiodysplasia
fragile small vessels
actual most common cause of bleeding
haemorrhoids
stopping bleeding by endoscopy
clips
adrenaline
APC
heater probe
how long after stopping bleeding by endoscopy can you eat
4 hours
Mallory weiss tear
tearing the oesophagus from vommiting
venous bleed
Varicocele bleed
Meckel’s diverticulum
embryonic remnant
how can meckel’s diverticulum present
melena
early satiety
feeling full very quickly
how may you see anaemia
look in the eyes
pale creases of the hand
what could you use to see how well the kidneys are being perfused
cathetar
black spot on an ulcer
clot
what would you do with a polyp
cut it and clip it
what kind of a bleed would you get with liver disease
varicoele
signs of liver disease
spider naevi, dupuytren’s contractures and palmar erythema
what is dupuytrens contractures
contraction of the fingers
preassure of a varicoele bleed
low
what do you have to be cautious of with liver disease and bleeding
supplement their clotting factors
what can you give to stop and varicoele bleed
vasopressin
what procedures can you do for varicoele bleed
sclerotherapy and banding
