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15 Cards in this Set

  • Front
  • Back

Most common cause of upper G.I. bleeding

Duodenal and gastric ulcer haemorrhage

In upper G.I. bleeding


Investigations that should be done first is:

Upper endoscopy

Patient over 50 years of age with prolonged bright red blood per rectum

Should be referred for an outpatient colonoscopy

Patient under 50 years of age with prolonged minimal bright red blood per rectum

Full history and physical including office anoscopy should be performed

Once a patient presents with a complaint of G.I. bleeding the most important first step is to

Assess and resuscitate the patient

In lower G.I. bleeding, age over 50, Patient is stabilized


what’s the next step in diagnosing the cause of bleeding

CT angiography or colonoscopy


In active heavy bleeding angiography is preferred, Diagnostic but not therapeutic


In slow bleeding colonoscopy is preferred. It’s advantage over CTA is that it’s both diagnostic and therapeutic.

For every 4-5 units of packed RBCs transfused you need to give.....

1unit of FFP Fresh frozen plasma to prevent coagulability

Non alcoholic fatty liver is associated with

Type 2 diabetes mellitus

Percutaneous endoscopic gastrostomy PEG tube asso w

Pressure ulcers

Laxative abuse causes

Melanosis coli

Achalasia caused by chagas disease in a brazillian immigrant


Most accurate diagnostic method

Esophageal manometry

Test for eradication of H. pylori

Urea breath test

Excruciating abdominal pain with minimal tenderness


MI mural thrombus


Acidosis & hypotension

Acute mesenteric artery ischemia

Maximum daily does of acetaminophen

4000 mg

Absolute contraindication of an ACE inhibitor

Previous h/o angiodema