Oesophageal Bleeding Flashcards

1
Q

What is a Mallory-Weiss tear?

A

Tear at the gastro-oesophageal junction due to periods of retching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the main cause of a Mallory-Weiss tear?

A

Periods of Heavy drinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does a Mallory-Weiss tear result in?

A

Large volumes of bright red blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What can a Mallory-Weiss tear result in?

A

Haematemesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How does a Mallory-Weiss tear resolve?

A

By itself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are oesophageal varices?

A

Dilated oeosphageal veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are oesophageal varices due to?

A

Severe liver disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are oesophageal varices secondary to?

A

Cirrhosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do oesophageal varices present?

A

Large volumes of dark red blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are oesophageal varices a common cause of cause in patients with cirrhosis?

A

Mortality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What do people with oesophageal varices have a history of?

A

Liver disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the bleeding in oesophageal varices due to?

A

Fragile veins are more likely to bleed due to portal hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What symptoms present along with the large volumes of dark red blood?

A

Physical signs of portal hypertension

Painless and sudden onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How are oesophageal varices diagnosed?

A

Endoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the immediate management of oesophageal varices?

A

Blood transfusion

Vasopressin analogue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is an example of a vasopressin analogue?

A

Terlipressin

17
Q

What would you do if the bleeding with oesophageal varices was uncontrollable?

A

Sengstaken-blakemore tube

18
Q

What is the management of oesophageal varices when the patient is haemodynamically stable?

A

Variceal band ligation

19
Q

What would you give prophylactically to prevent oesophageal variceal bleeding?

A

Propranolol

20
Q

What medication can you give for oesophageal varcies while the patient is awaiting endoscopy?

A

Terlipressin

21
Q

What can be done if all other interventions aren’t successful at preventing another episode for oesophageal varcies?

A

TIPSS

22
Q

What is a complication of TIPSS?

A

Can exaccerbate hepatic encephalopathy (confusion)

23
Q

When might you give prophylactic antibiotics to someone with oesophageal varcies?

A

Present with cirrhosis and upper GI bleeding

24
Q

What prophylactic antibiotic would you consider giving for coesophageal varcies?

A

Quinolones