GI - GI Bleed

Question 0

On the form of GI bleeding which can be determined by physical exam?

Answer 0

Variceal bleed

Question 1

Most common cause of upper G.I. bleed? Lower G.I. bleed?

Answer 1

Ulcers; diverticulosis

Question 2

Order to treat GI bleed?

Answer 2

1. Fluid
2. pRBC if HCT under 30 in old/CAD
3. FFP if PT/INR elevated
4. Platelets if below 50K and active bleed
5. Octreotide if variceal
6. EGD

Question 3

When to do nuclear bleeding scan?

Angiography?

Capsule endoscopy?

CT/MRI?

Answer 3

Endoscopy shows nothing in massive acute bleed

Need to find vessel for surgery in massive unresponsive hemorrhage

Nothing seen with upper and lower endoscopy

Not useful