Mar 18, 2024 · This guide provides an overview of the recognition and immediate management of upper gastrointestinal bleeding (UGIB) using an ABCDE approach. The ABCDE approach is used to systematically assess an acutely unwell patient.

Jun 28, 2021 · Medication, particularly NSAIDs which increase the risk of UGIB four-fold. Learning Bite. Do a PR early as it may confirm fresh melaena.

Aug 17, 2024 · Upper gastrointestinal bleeding describes blood loss from a gastrointestinal source localized to the esophagus, stomach, or duodenum, proximal to the ligament of Treitz.

Tortuous arteriole usually upper part of lesser curve, bleeding occurs through a tiny defect. Aorto-enteric fistula (commonest at approx 5 years post-surgery. Approx 2% risk) If massive blood loss occurs then follow local protocols for transfusing platelets and clotting factors along with blood.

Common upper GI bleed exam questions for medical finals, OSCEs and MRCP PACES . Question 1.

Feb 2, 2016 · The history and clinical findings suggest an upper gastrointestinal bleed (UGIB). The underlying causes of UGIB include: Peptic/duodenal ulcer: may be secondary to H.Pylori or drugs such as NSAIDs; Oesophageal erosions; Mallory-Weiss tear: the history should include forceful retching preceding any bleeding

Oesophageal varices are abnormal, dilated veins that occur at the lower end of the oesophagus; they account for 10-20% of UGIB. Oesophageal varices occur secondary to portal hypertension most commonly secondary to chronic liver disease / cirrhosis.

Acute gastrointestinal bleeding is a potentially life-threatening abdominal emergency that remains a common cause of hospitalization. Upper gastrointestinal bleeding (UGIB) is defined...

Jul 4, 2023 · Acute upper gastrointestinal (GI) bleeding (UGIB) describes bleeding from the oesophagus, stomach, or duodenum and is a medical emergency. An upper gastrointestinal endoscopy is crucial for its investigation.

Features - Haematemesis - Melaena (NB haematochezia in brisk UGIB) - Raised urea (protein meal) Ix: all suspected UGIB should have endoscopy within 24h of admission. Risk assessment - Glasgow-Blatchford score: used pre-endoscopy to identify …