Lower GIB

Question 1

Causes of lower GIB

Answer 1

Vascular ectasias, neoplasms, NSAIDS, Ulcers

Question 2

Diagnostics for lower GIB

Answer 2

Small capsule study
Nuc med bleed scans

Question 3

Lower GIB treatment plan

Answer 3

Consult GI
Small intestinal vascular ecstasies- EGD balloon enteroscopy
IRAD for direct embolization

Question 4

Colonic Lower GIB causes

Answer 4

Hemorrhoids, anal fissures, diverticulosis, neoplasms, colitis, post procedural bleeding

Question 5

S/s of diverticular, vascular ectasias, neoplasm, and colitis bleeds

Answer 5

Diverticular: abrupt onset, painless
Vascular: overt or occult
Neoplasms: weight loss and hematochezia
Colitis: diarrhea, hematochezia, and fever

Question 6

Diagnosis of colonic lower GIB

Answer 6

CT scan
Colonoscopy

Question 7

Treatment plan for colonic GIB

Answer 7

Hemostasis therapy
Transcatheter arterial embolization
Endoscopic or angiographic intervention
Segmental resection