lower GI bleed

Question 1

lower GI bleed small bowel causes

Answer 1

cancer, crohns, disease, ecoli infection, AVM, mesenteric ischemia ( SMA)

Question 2

lower GI bleed large bowel causes

Answer 2

inflammation (chrons, ecoli, ulcerative colitis), AVM, cancer, polyyp, mesenteric ischemia (IMA), diverticulosis

Question 3

AVM

Answer 3

arteriovenous malformation most common in the right colon

Question 4

lower GI bleed anus causes anus

Answer 4

cancer, internal haemorrhoids, external haemorrhoids, anal fissure

Question 5

symptoms of lower GI bleed

Answer 5

hematochezia (bright red stool), malenia, hypotension, tachy, pale + cold skin, lincreased cap refill, orthostatic hypotension

Question 6

diagnosis of lower GI bleed

Answer 6

arteriography, colonoscopy, CT angiogram, explorative surgery

Question 7

how to assess if a patient is stable

Answer 7

hypotension, tachy, flat IVC, pale + cold, AKI, LFT deranged, low Hb, coag screen

Question 8

hemodynamic resus

Answer 8

IV fluid, FBC ever 8 hours, cross matching

Question 9

treatment of AVM

Answer 9

argon plasma coagulation

Question 10

treatment of mesenteric sichemia

Answer 10

heparin, embolectomy, tPA

Question 11

diverticulosis treatment

Answer 11

clip/cauterise, epi injeciton, emoblism, vasopressin

Question 12

internal haemorrhoids treatment

Answer 12

bands

Question 12

internal haemorrhoids treatment

Answer 12

bands

Question 13

external haemorrhoid treatment

Answer 13

sight bath, suppositories, haemorrhoidectomy