Surgical Tut - Upper GI bleeding

Question 1

top 4 causes of upper GI bleeding

Answer 1

peptic ulcer
oesophageal varices
mallory weiss
gastritis/duodenitis

Question 2

what is haemosuccus pancreaticus?

Answer 2

bleeding down pancreatic duct

Question 3

scoring system for upper GI bleeding?

Answer 3

Rockall Score =

8 high mortality

Question 4

best sign for shock in young and old people?

Answer 4

young: tachycardia
older: BP, could be beta-blocked

Question 5

initial management of upper GI bleeding before gastroscope?

Answer 5

PPI

80mg pantoprozole bolus IV, then another 80mg over 8hr.

Question 6

where are the blood vessels in the stomach lining?

Answer 6

submucosa

Question 7

what does adrenaline do to an ulcer when injected?

Answer 7

vasoconstriction

tamponades

Question 8

3 treatments for peptic ulcer once gastro

Answer 8

adrenaline
clipping
gold probing

Question 9

4 places where varices occur?

Answer 9

retroperitoneal
umbilical
oesophageal
rectal

Question 10

adenocarcinoma looks like?

Answer 10

central ulcer and rolled edges

Question 11

what is TIPS?

Answer 11

transjugular intrahepatic portal systemic shunt

Question 12

where is the ligament of trietz?

Answer 12

makes the duodenal-jejenal flexure