Flashcards in Upper GI Bleeding Deck (12):
What are symptoms of Upper Gi bleeding?
Haematemesis - Most important symptom
Production of Melaena
Coffee ground vomit.
Poor urine output
What are conditions related to Upper GI bleeds?
Ulcers - Most common
Mallory weiss tear
What tests are used to diagnose an upper GI bleed?
Endoscopy - Goldstandard.
Arterial Blood Gases
What is a Varice?
An abnormally dilated vessel
This can bleed. This is a life threatening medical emergency.
How is a bleeding Varice fixed surgically?
Injection sclerotherapy ( ethanol amine) - injecting an intense inflammatory into the bleed
What is pharmacological treatment for an upper GI bleed?
Omezprazol - proton pump inhibitor, used in dyspepsia.
What is a upper GI bleed classes as?
Refers to bleeding in the stomach, duodenum and oesophagus
What drug increases the chances of having an upper GI bleed?
What is the pathology of a varice?
Formation of collateral arteries between the portal system and the systemic system due to primary disease (e.g. liver disease)
Hyperdynamic flow and portal hypertension causes dilation of the vessel
Risk of bleeding and death
Where do collateral arteries form generally?
Lower oesophagus and gastric cardia
Risk of development of varices.
What is a mallory weiss tear?
Tear at the bottom of the oesophagus, causing persistent vomiting and haemotemesis