Flashcards in GI: bleeding Deck (11)
What separates upper GI from lower?
ligament of treitz (smooth muscle that connect duodenojejunal junction to connective tissue)
What structures are included in the upper GI?
duodenum (1-3rd portions)
What are two big symptoms of upper GI bleeds?
1) hematemesis (coffee grounds)
2) melena (black, tarry stool)
bright red blood per rectum (usually LGI bleeding but can be UGI if bleeding is 'brisk')
80% of upper GI bleed are due to what 4 causes?
1) peptic ulcer
2) esophagogastric varices
3) erosive esophagitis
4) mallory weiss tears
What are some causes of peptic ulcer disease?
- H. pylori
What are some symptoms of PUD?
epigastric abdominal pain
pain gets better with eating
evaluate with EGD
What are some complication of PUD?
bleeding (hematemesis/melena/orthostasis --> acute, iron deficient anemia --> chronic)
Aside from the big 4 causes of UGI bleeds, what else can cause them?
- portal gastropathy
- dieulafoy lesion
- cameron lesion
Unless the patient is actively retching blood, how do we know the difference between UGI and LGI bleed?