GI Bleeding

Question 1

• patient unaware of bleeding but has iron deficiency anemia or guaiac + stools

Answer 1

occult bleeding– focus on detecting CRC

Question 2

patient knows but unknown source

type of bleeding and most common cause?

Answer 2

obsecure bleed– angiodysplasias (AVM) of small bowel

Question 3

upper vs lower GI bleed

hematemesis
melena
hematochezia

Answer 3

puking blood– upper
dark stool– upper
bright red in poo– lower

Question 4

diagnostic tool for diagnosing GI bleed and when should you do it

Answer 4

endoscopy w/in 24 hrs of acute GI bleed after resuscitation if needed

Question 5

when do you use PPIs vs octreotide with bleeding

Answer 5

PPI– acute bleeding ulcers
octreotides– variceal bleeding

Question 6

clots in ulcer bed warrants what?

Answer 6

targeted attempts at dislodgement