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13 Cards in this Set
- Front
- Back
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What is the point making it a lower GI bleed?
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distal to ligament of Treitz
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Symptoms of Lower GI Bleed?
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Hematocheiz w/wo abdominal pain, melna, anorexia, fatigue, syncope
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Signs of lower GI bleed?
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Hematochezia, postive hemoccult, abdominal tenderness, hypovolemic, shock, orthostasis
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Lower GI is mc seen in elderly who have had?
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low fiber diet, Chronic constipation
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Meds that can cause lower GI bleed?
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Coumadin, ASA, Plavix
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MCC of Lower GI bleed? And what do the films show?
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Diverticulosis at rectosigmoid, CT will show colonic outpouchins and BE will show sawtooth
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2nd MCC of lower gi bleed?
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Vascular Ectasia
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Lab tests to order in lower GI bleed?
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CBC, Chem 7, PT/PTT, type and cross
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Initial Treatment of Lower GI bleed?
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IV fluids (lactated ringers), PRBC, FFP, Foley, NGT, D/C possible causes (ASA, plavix)
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Diagnostic tests of lower GI bleed?
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HnP, anorectal exam, NG Tube aspiration to R/O upper gi bleed, Endoscopy/anoscopy/proctosopy/colonoscopy or Angiogram
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If slow bleed is in colon what is the bestway to find it?
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Colonoscopy (use angio with tagged RBC if it’s a fast bleed)
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Treatment of a lower GI bleed that is massive and of a known location?
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Resection
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How many Lower GI bleeds require surgery?
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Only 10 %, most resolve on their own.
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