Upper GI Bleeding

Question 1

What target should be aimed in general for Hb in UGIBs?

Answer 1

70-90

Question 2

What Blatchford score means patients with UGIB are low risk and can have outpatient endoscopy?

Answer 2

<1

Question 3

What are the elements of the Blatchford score?

Answer 3

urea, Hb, SBP, HR, melaena, syncope, liver disease, heart failure

Question 4

What is the use of the Forrest score?

Answer 4

based on appearance of ulcer in endoscopy determines who can be discharged home early for oral PPI

Question 5

What are the elements of the AIM65 scoring system?

Answer 5

albumin, INR, altered mental status, SBP, age > 65

Question 6

How soon should a scope be done in UGIB?

Answer 6

within 24 hours

Question 7

What pharmacological therapy should be used to treat acute variceal bleeding?

Answer 7

octreotide/terlipressin
antibiotics - ceftriaxone followed by morfloxacin
PPI (to redue risk of post banding ulcers)

Question 8

When should endoscopy be performed for an acute variceal bleed?

Answer 8

within 12 hours