Podcast
Questions and Answers
What is the typical symptom of slow, chronic blood loss in GI bleeding?
What is the typical symptom of slow, chronic blood loss in GI bleeding?
- Hematemesis
- Fresh bleeding per rectum
- Postural hypotension
- Fatigue and exertional dyspnea (correct)
What is the probable source of bleeding if a patient presents with fresh bleeding per rectum with blood clots?
What is the probable source of bleeding if a patient presents with fresh bleeding per rectum with blood clots?
- Esophageal varices
- Lower GI source (correct)
- Upper GI source
- Duodenal ulcer
What is the initial step in the management of GI bleeding?
What is the initial step in the management of GI bleeding?
- Performing a stool examination
- Establishing an IV line (correct)
- Inserting an NG tube
- Conducting laboratory investigations
What is the purpose of assessing orthostatic changes in a patient with GI bleeding?
What is the purpose of assessing orthostatic changes in a patient with GI bleeding?
What is the significance of a history of recent dyspepsia in a patient with GI bleeding?
What is the significance of a history of recent dyspepsia in a patient with GI bleeding?
What is the purpose of conducting laboratory investigations in a patient with GI bleeding?
What is the purpose of conducting laboratory investigations in a patient with GI bleeding?
What is the approximate increase in Hb concentration after transfusing 1 unit of packed cells?
What is the approximate increase in Hb concentration after transfusing 1 unit of packed cells?
What is the primary method of endoscopic treatment for variceal bleeding?
What is the primary method of endoscopic treatment for variceal bleeding?
What is the percentage of lower GI bleeding that presents as hematochezia?
What is the percentage of lower GI bleeding that presents as hematochezia?
What is the typical volume of a unit of packed cells?
What is the typical volume of a unit of packed cells?
What is the definition of massive transfusion?
What is the definition of massive transfusion?
What is the primary source of blood passed per rectum in lower GI bleeding?
What is the primary source of blood passed per rectum in lower GI bleeding?
What is the primary goal of administering crystalloid or colloid solutions during resuscitation?
What is the primary goal of administering crystalloid or colloid solutions during resuscitation?
What is the recommended treatment duration for acid suppression in patients with bleeding ulcers?
What is the recommended treatment duration for acid suppression in patients with bleeding ulcers?
What is the primary effect of terlipressin on blood vessels in bleeding varices?
What is the primary effect of terlipressin on blood vessels in bleeding varices?
Why are prophylactic antibiotics administered in patients with bleeding ulcers?
Why are prophylactic antibiotics administered in patients with bleeding ulcers?
When should central venous monitoring and ICU monitoring be indicated?
When should central venous monitoring and ICU monitoring be indicated?
What is the primary action of octreotide and somatostatin in the management of bleeding varices?
What is the primary action of octreotide and somatostatin in the management of bleeding varices?