GI Bleed

Question 1

What order of tests for run for GI bleed?

Answer 1

1. EGD
2. Angiogram = brisk bleed, Tagged RBC = slow bleed, Colonoscopy = no active bleed
3. Pill cam = do if all others negative

Question 2

Treatment for Esophageal varicies

Answer 2

BB for prophylaxis, Octreotide for active, Balloon tamponade if need to stop asap!
can also do: caudry or banding

Question 3

What is Dieulafoy Lesion? tx?

Answer 3

anatomic varient causing a superficial artery that gets eroded by gastritis/ulcers causing sudden massive UGI bleed requiring a SUBTOTL GASTRECTOMY!