Management Of GIS Bleeding Flashcards
What are upper GI bleeding etiologies?
Peptic ulcers
Gastritis
Esophageal varicose veins
Gastric varicose veins
Crohn’s disease
Mallory weiss tears
Vascular lesions
Malignancies
What are lower GI bleeding etiologies?
Diverticular disease
GI cancer
Crohn’s and UC
Polyps
Angiodysplasia
Upper GI origin
What seperates the upper GI bleeding from the lower GI bleeding?
Ligament of treitz
What is most common cause of upper GI bleeding>
Peptic ulcer
What are the classifications used in upper GI bleeding?
Forrest classification
Glasgow-blatchford classification
Rockall classification
Location of lower GI bleeding?
Distal of treitz ligament
Location of upper GI bleeding?
Proximal of treitz ligament
What is the most common cause of lower GI bleeding in elderly?
V.i.C
Colonic diverticulosis
Vascular extasias
Ischemic colitis
What is the most common lower GI bleeding reason?
Diverticular disease
A pt with hx of drug use, presence of polyps,melena malignancies in family has hypotension, which type of GI bleeding he might be going through?
Lower GI bleeding
A pt with hx of drug use, presence of hematochezia (stool in blood) malignancies in family has hypotension, which type of GI bleeding he might be going through?
Lower GI
*How to approach a pt with upper GI bleeding?
Physical examination: examination of the abdomen and digital rectal examination, presence of ascites, skin manifestations
IV fluid
Endoscopy &Angiography
Surgery
How to approach a pt with lower GI bleeding?
Physical examination: Examination of the abdomen, digital rectal examination (ampulla recti, characteristics of feces)
Imaging Studies: Enteroscopy, scintigraphy, angiography •
Surgery: Intraoperative transluminization or enteroscopy
