What are the two most serious symptoms of upper GI bleed?
Haematemisis
malaena
What big questions should you ask in upper GI bleeding history?
NSAIDs, pain, heartburn (pain)
What investigations should you do in upper Gi bleed?
Urea (RBS start to be digested, upper GI endoscopy. Plus normal work up
What are the causes of upper GI bleed?
peptic ulcer, mallory-weiss tear, malignancy, inflammation
what IV should upper GI bleeders be started on immediately? (2)
blood and PPIs
what is a mallory-weiss tear?
tear from committing or wreching