UGIB Flashcards
Forrest classification Ia
arterial bleeding
Forrest classification Ib
active oozing
Forrest classification IIa
visible vessel
Forrest classification IIb
adherent clot
Forrest classification IIc
pigmented base
Forrest classification III
clean base
Likelihood of further bleeding 1)I 2) IIa 3) IIb
1) >50% 2) >40% 3) >20%
Risk factors for rebleeding
ulcer > 2cm ulcers on lesser curvature / superoposterior D1
Components of Rockall score
Age Shock Comorbidities Diagnosis Stigmata of recent hemorrhage
Glasglow-Blatchford score 1)Use 2)components 3)interpretation
1)Predicts need for medical intervention 2) blood urea, hemoglobin, SBP, pulse, melena, syncope, hepatic disease, cardiac failure 3) >=6 need for intervention, 50% mortality