17 - GI bleeds Flashcards Preview

Emerg > 17 - GI bleeds > Flashcards

Flashcards in 17 - GI bleeds Deck (15)
1

5 most common causes of UGIBs

1. ulcers
2. varices
3. mallory weiss tear
4. gastritis
5. esopagitis

2

what to do with ulcers

test and treat for H.pylori

3

cuases of UGIBs in infants and toddlers

1. ingestion of FB
2. esophagitis
3. gastritis
4. ulcers
5. coagulopathy
6. cow's milk allergy
7. congenital malformation
8. mallroy -weis tear

4

5 most common causes of LGIBs

1. diverticulosis
2. angiodysplasia
3. neoplasm
4. IBD
5. anorectal disease

5

presentations

varies
- anemia
- fatigue
- emesis
- melena
-

6

Hx things to ask for GIB

- Sx or risks
- protracted wretching or vomiting
- features of malg
- previous Hx
- liver disease or alc
- surgical Hx
- med review - anticoag, NSAIDS, ASA

7

3 things to look for on PHx

1 mental status
2. FOBT
3. stigmata of liver disease

8

bloods for GIB

- cbc
- INR/PTT
- group and screen
- BUN/Cr
- LFTs
repeat in 4 hours

9

2 images

1. abdoXR - for perfs
2. CT

10

mgmt of bleeds

1. ABC
2. IVs
3. crystalloids
4. prep for blood transfusions
5. vit K and FFP if INR high

11

meds for GI bleeds

- PPIs for ulcers
- octreotide and somatostatin
- vasopressin for variceal bleeds
- promotility of have high amount of blood in gut

12

what is gold standard for Dx

- endoscopy
- can Dx and band or treat

13

when to use CT radionucleotide imaging

when can't endo for some reason

14

when to surgery

unstable PT not respnding to resus

15

cutoffs to give blood

healthy - 70
elderly - 100