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Internal Medicine 1: GIT > LGIB > Flashcards

LGIB Flashcards

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Git Commands flashcards
1
Q

What’s the cut off point between UGI and LGI?

A

Ligament of treitz

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2
Q

At what point is LGIB significant?

A

If the blood loss is >10ml a day

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3
Q

What is the presentation of LGIB?

A

Hematochezia

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4
Q

What is Hematochezia?

A

Red blood stool, contrary to melena

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5
Q

Diff between massive and moderate bleeding?

A

Massive is lots of blood, not Hematochezia, are hemodynamically unstable, and require blood transfusions

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6
Q

Most common cause of lower GI bleeding?

A

Diverticulosis

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7
Q

What is the cause of painless large volume bleeding?

A

Diverticular bleeding

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8
Q

Cause of bloody diarrhea and abdominal cramps?

A

IBD

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9
Q

Should brown stools be streaked with blood, what would it suggest?

A

That the source is in the anus

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10
Q

Maroon coloured stools mean where’s the source?

A

Right colon or small intestine

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11
Q

What is the gold standard for Lower GI scans?

A

Colonoscopy

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12
Q

What would a CT angiography benefit?

A

The bleeding rate

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13
Q

Stable bleeds are risk assessed via which tool?

A

Oakland score

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14
Q

An Oakland score of 8+ means?

A

95% probability of safe discharge, I.E all good

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15
Q

What do we do for hemodynamically stable patients with LGIB?

A

An RBC transfusion

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16
Q

What’s the value of colonoscopy?

A

Detecting the source of bleeding

17
Q

CT angiography is only preferred in…?

A

Hemodynamically significant hematochezia ONLY

18
Q

When we detect source of bleeding, what do we do?

A

Refer patient for ateriography and embolization

19
Q

What’s obscure git bleeding?

A

Bleeding of a source that can’t be identified via endoscopy

20
Q

How we do detect obscure git bleeding?

A

CT scan

21
Q

If we do infact find obscure bleeding, what do we do next?

A

A video endoscopy

Internal Medicine 1: GIT (6 decks)

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