UPPER GI BLEEDING

Question 1

Bleeding peptic ulcer DDx:

3

Answer 1

1. Gastritis.
2. Gastric cancer.
3. Esophageal varices.

Question 2

Bleeding peptic ulcer workup:

6

Answer 2

1. Rectal exam.
2. CBC, type and cross.
3. Electrolytes.
4. AST/ALT/bil/ALP.
5. INR.
6. Upper endoscopy (including H.pylori testing if ulcer is confirmed).

Question 3

Gastritis DDx:

4

Answer 3

1. Bleeding peptic ulcer.
2. Gastric cancer.
3. Esophageal varices.
4. Mallory-Weiss tear.

Question 4

Gastritis workup:

6

Answer 4

1. Rectal exam.
2. CBC, type and cross.
3. Electrolytes.
4. AST/ALT/bil/ALP.
5. INR.
6. Upper endoscopy.