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GI Bleed
1.88mb ppt, Wu

*Previously recorded lectures may not correspond directly to the most recent faculty lecture, but content should be intact.

Lectures › GI Hemorrhage

GI Hemorrhage

Clinical presentation - history

Work-up: including highlights of physical exam abnormalities, laboratories (hematocrit, platelets, coagulation defects), resuscitation (type & cross)

Differential diagnosis - site and etiology

upper vs lower (gastritis, Mallory-weiss, ulcer (peptic or cancer), varices; AVM, cancer, ischemia, diverticular, hemorrhoids, fissure)
painful vs painless
acute exsanguination vs chronic

Role of endoscopy, anoscopy, sigmoidoscopy, colonoscopy - diagnostic, therapeutic

Role of angiography - diagnosis, therapeutic

Indications for operative treatment - ulcers, Mallory-weiss, colonic

Specific treatments:

Varices - resuscitate + Pitressin, octreotide or nitroglycerin; SB tube; sclerosis; TIPS, shunt, transplant
Operations for peptic ulcer disease - risk, benefits, recurrence

Will NOT be discussed/ Outside reading recommended (some covered in other lectures):