Patient Vomiting Blood

Question 1

How do we tell if bleeding is from GIT or respiratory tract?

Answer 1

GIT is dark red, respiratory bright

Question 2

Commonest peptic ulcer

Answer 2

Duodenal ulcer

Question 3

Peptic ulcer treatment apart from medical?

Answer 3

Endoscopic

Question 4

What is Esophageal Varicosity

Answer 4

Dilated sub-mucosal veins in the esophagus

Question 5

Esophageal tear treatment?

Answer 5

Sengstaken-Blakmore or scleropathy

Question 6

What is Mallory-Weiss syndrome?

Answer 6

A tear caused by alcohol intoxication

Question 7

How do we treat erosive inflammation in the upper GIT?

Answer 7

Intubation and irrigation with alkaline fluid.

Question 8

How do we manage patients with significant blood loss after vomiting blood?

Answer 8

Resuscitation is an immediate priority. Then fluids/blood, endoscopy, if unclear the cause of bleeding, then laparotomy.

Question 9

How do we manage patients with minimal blood loss?

Answer 9

We get them on PPI’s and endoscopy is arranged

Question 10

Explain the Forrest Classification

Answer 10

Classifies Peptic ulcers

Question 11

Clean based ulcers are classified as what

Answer 11

Class 3

Question 12

Any actively bleeding ulcer is classified as what

Answer 12

Class 1 A for spurting, B for oozing

Question 13

Forrest classification of recent ulcer hemorrhage, non bleeding hemorrhages is what?

Answer 13

Class 2. C for flat spot, A for visible ulcer, and B for adherent clot

Question 14

In chronic Peptic ulcers what do we do?

Answer 14

Eradicate H.Pylori

Question 15

Esophageal varicosity treatment?

Answer 15

Balloon tamponade or Banding (scleropathy)