Oesophageal Bleeding Flashcards
What is a Mallory-Weiss tear?
Tear at the gastro-oesophageal junction due to periods of retching
What is the main cause of a Mallory-Weiss tear?
Periods of Heavy drinking
What does a Mallory-Weiss tear result in?
Large volumes of bright red blood
What can a Mallory-Weiss tear result in?
Haematemesis
How does a Mallory-Weiss tear resolve?
By itself
What are oesophageal varices?
Dilated oeosphageal veins
What are oesophageal varices due to?
Severe liver disease
What are oesophageal varices secondary to?
Cirrhosis
How do oesophageal varices present?
Large volumes of dark red blood
What are oesophageal varices a common cause of cause in patients with cirrhosis?
Mortality
What do people with oesophageal varices have a history of?
Liver disease
What is the bleeding in oesophageal varices due to?
Fragile veins are more likely to bleed due to portal hypertension
What symptoms present along with the large volumes of dark red blood?
Physical signs of portal hypertension
Painless and sudden onset
How are oesophageal varices diagnosed?
Endoscopy
What is the immediate management of oesophageal varices?
Blood transfusion
Vasopressin analogue