GI Haemorrhage Flashcards Preview

GI > GI Haemorrhage > Flashcards

Flashcards in GI Haemorrhage Deck (7)
Loading flashcards...
1

Haemorrhage causes

Oral and nasopharynx- epistaxis, tonsils etc
Oes- tum, MWT, varices
Stom- tum, ulcer, erosions, angiodysplasias, batteries
Duod- ulcer, haemobilia
SI- tum, ulcer, IBD, meckels
LI- tum, divertic, radiation dam, AVM, angiodysplasia, IBD, piles, varices

2

UGI Haemorrhage mx
Bleed and shock

ABCDE
Bloods- GS, FBC, clotting, gas
OGD ix
Fluid challenge- 20-30ml per kg?
Blood transfus if Hb drop by 40
Hx
Exam
OGD
Endosc ulcer interven- injec saline, adren, scleroising agent. Maybe double therapy with diathermy.
PPI, Hp erad
Tx varices- banding or PV shunt if fails
Cauterise and clip angio dysplasia
Surg if all fails. Angio embol then vasc surg

3

LGI haemorrhage

Can be minute or massive haemodynam instabil
Less comm than UGI
Us colon
V sev UGI bleed can px like LGI in 15% cases eg hypot and lot blood

4

LGi haemorrhage ix

Hx and exam incl perianal
FBC, UE, clotting, X match
ECG
Endosc- siggy or colon
Radiology- mesenteric angiogram CT

5

LGI haemorrhage px

Minor PR bleed
Massive blood loss- collapse, palpitation, angina, MI

6

LGI haemorrhage causes

Minor-
Haemorrhoid
Colorectal ca
Colitis- isch, IBD
Vasculitis
Polyp
Major-
Colonic diverticular dis
Angiodysplasia

7

LGI haemorrhage mx

Fluids
Catheter
O2
MOST SELF RESOLVE with monit
Conservative and radio
Surg- diffic due to lack precise locat
Just resect if cant surgically find source