BLEEDING FROM THE GUT
BLEEDING FROM THE GUT Anatomical landmark to differentiate between "upper GI" and "lower GI" bleeding - ligament of TREITZ CAUSES OF UPPER GI BLEEDING/HEMATEMESIS 1. PEPTIC ULCER DISEASE: (Leading cause for hematemesis) Duodenal ulcer - gastroduodenal artery - managed by endoscopy + cautery Gastric ulcer - left gastric artery - managed by endoscopy + cautery 2. DRUG INDUCED GASTIRITIS: COX - inhibitors 3. PORTAL HYPERTENSION: (splenomegaly will be noted) 4. MALLORY WEISS SYNDROME: (sub mucosal tear) keypoints: RETCHING episodes Alcoholic binge drinking/hyperemesis gravidarum primary site of tear : lower esophageal sphincter and starts from cardia source of bleeding : left gastric artery 5.DIEULAFOY'S LESION: Aberrant sub mucosal artery bleed 6.GAVE-GASTRIC ANTRAL VASCULAR ECTASIA: Water melon stomach LOWER GI BLEEDING: HEMATOCHEZIA: fresh blood in stool 1. PILES/INTERNAL HEMORRHOIDS: "Fla...