GI bleeding and emergencies CIS Flashcards Preview

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Flashcards in GI bleeding and emergencies CIS Deck (15):
1

most common place for H pylori

duodenum

2

on endoscopy- inc chance of rebleeding?

red wale markings

3

clinical predictors of inc risk of rebleeding

->60 yo
-comorbid illness
-SBP < 100
-HR > 100
-bright red blood in NG aspirate or on rectal exam

4

portal HTN/varices- inc risk of bleeding

-size of varices
-red wale markings
-liver dz severity
-acive alcohol abuse

5

treatment for esophageal varices

-variceal banding
-balloon tamponade

6

UGIB- where?

proximal to ligament of treitz

7

UGIB- causes

-PUD
-portal HTN- esophageal varices- mortality at 80% with recurrent bleeding!!
-mallory-weiss tears

8

UGIB- tx

-2 18 gauge or larger IV lines!!

9

assoc with angiodysplasia/vascular ectasia?

-chronic kidney disease

10

LGIB- caused by- < 50 yo

-infectious colitis, anorectal dz, IBD

11

LGIB- caused by- > 50 yo

-diverticulosis- most common cause of major LGIB!!- painless
-angioectasias
-neoplasms
-IBD
-ischemic colitis- crampy abd pain

12

LGIB- diagnostics

colonoscopy
-bowel prep- if hemodynamically stable and w/o active bleeding
-urgent- if hemodynamically unstable and w/ active bleeding

13

if small bowel obstruction- use what to relieve sx?

-nasogastric tube to suction

14

family mediterranean fever- in who? tx?

-lack of protease in serosal fluids
-< 20 yo
-episodic bouts of acute peritonitis- abd pain, fever
-self-limiting (colchicine can help)

15

toxic megacolon

-complication of IBD and C diff!!!
-high risk of perforation
-tx- surgery