Surgical Tut - Upper GI bleeding Flashcards Preview

Jason's MD2 Surgery Rotation > Surgical Tut - Upper GI bleeding > Flashcards

Flashcards in Surgical Tut - Upper GI bleeding Deck (12)
Loading flashcards...
1
Q

top 4 causes of upper GI bleeding

A

peptic ulcer
oesophageal varices
mallory weiss
gastritis/duodenitis

2
Q

what is haemosuccus pancreaticus?

A

bleeding down pancreatic duct

3
Q

scoring system for upper GI bleeding?

A

Rockall Score =

8 high mortality

4
Q

best sign for shock in young and old people?

A

young: tachycardia
older: BP, could be beta-blocked

5
Q

initial management of upper GI bleeding before gastroscope?

A

PPI

80mg pantoprozole bolus IV, then another 80mg over 8hr.

6
Q

where are the blood vessels in the stomach lining?

A

submucosa

7
Q

what does adrenaline do to an ulcer when injected?

A

vasoconstriction

tamponades

8
Q

3 treatments for peptic ulcer once gastro

A

adrenaline
clipping
gold probing

9
Q

4 places where varices occur?

A

retroperitoneal
umbilical
oesophageal
rectal

10
Q

adenocarcinoma looks like?

A

central ulcer and rolled edges

11
Q

what is TIPS?

A

transjugular intrahepatic portal systemic shunt

12
Q

where is the ligament of trietz?

A

makes the duodenal-jejenal flexure

Decks in Jason's MD2 Surgery Rotation Class (62):