Episode 218
CRACKCast E218 - Gastrointestinal Bleeding
CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries · Dillan Radomske and Owen Scheirer
October 5, 202028m 8s
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Show Notes
Core Questions
- Define upper gastrointestinal versus lower gastrointestinal bleeding and differentiate between the two based on anatomic location
- Outline an approach to the history and physical examination for the patient with complaints consistent with GIB.- Box 27.3
- List 5 causes of UGI bleeding and 5 causes of LGI bleeding- Table 27.1
- Outline six alternative diagnoses or mimics of GI bleeding - Box 27.1
- List five characteristics of patients with high-risk GI bleeds - Box 27.2
- Describe an approach to ancillary testing in the patient with GI bleeding.
- List five substances that when ingested, can result in a falsely-positive stool guaiac study
- Outline an approach to the management of the patient with GI bleeding - Fig 27.3
- Detail the Blatchford and Clinical Rockall Risk Scores - Tables 27.3/27.4
Wisecracks
- Outline the three most common causes of UGIB in pediatric and adult patients.
- Outline the three most common causes of LGIB in pediatric and adult patients.
- What percentage of patients presenting with hematochezia actually have an UGIB?
- What volume of blood loss is needed to produce symptoms of anemia in the patient with an acute/subacute GI bleed?