Gastrointestinal bleeding resident survival guide: Difference between revisions
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{{familytree | | | | | A01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |A01=GI bleed}} | {{familytree | | | | | A01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |A01=GI bleed}} | ||
{{familytree | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}} | {{familytree | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}} | ||
{{familytree | | | | | B01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |B01=Assess airway, intubate if required<br>Assess circulation, 2IV bore lines<br>500ml NS<br>nil per oral<br>start PPI infusion (80mg bolus followed by 8mg/h infusion}} | {{familytree | | | | | B01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |B01=Assess airway, intubate if required<br>Assess circulation, 2IV bore lines<br>500ml NS<br>nil per oral<br>start PPI infusion (80mg bolus followed by 8mg/h infusion)}} | ||
{{familytree | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}} | {{familytree | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}} | ||
{{familytree | | | | | C01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |C01=Send CBC, PT/PTT<br>blood type and cross match}} | {{familytree | | | | | C01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |C01=Send CBC, PT/PTT<br>blood type and cross match}} | ||
{{familytree | | |,|-|-|^|-|-|.| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}} | {{familytree | | |,|-|-|^|-|-|.| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}} | ||
{{familytree | | D01 | | | | D02 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |D01=UGIB management see below |D02=LGIB management see bwlow}} | {{familytree | | D01 | | | | D02 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |D01=UGIB management see below |D02=LGIB management see bwlow}} | ||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 19:29, 27 November 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Twinkle Singh, M.B.B.S. [2]
Definition
Gastrointestinal bleeding refers to any bleeding that occurs in gastrointestinal tract from the pharynx to the rectum.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
- Esophageal varices
- Gastric ulcer
- Gastric varices
- Aorto-enteric fistula
- Hemosuccus pancreaticus
- Superior mesenteric artery syndrome
Common Causes
- Upper gastrointestinal bleeding
- Lower gastrointestinal bleeding
Management
Shown below is an algorithm summarizing the approach to [[Initial work up of GI bleed]].
| GI bleed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Assess airway, intubate if required Assess circulation, 2IV bore lines 500ml NS nil per oral start PPI infusion (80mg bolus followed by 8mg/h infusion) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Send CBC, PT/PTT blood type and cross match | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| UGIB management see below | LGIB management see bwlow | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||