Term
|
Definition
| YES - MEDICAL EMERGENCY, CALL 911 |
|
|
Term
| Signs that prognosis is worse |
|
Definition
| Fresh red blood in vomit or per rectum, tachycardia, HoTN |
|
|
Term
| What are esophageal varicies, and how are they prevented pharmacologically? |
|
Definition
| Extremely dilated submucosal veins, leads to UGIB. PREVENT with BB. |
|
|
Term
| Therapy for UGIB due to Ulceration? |
|
Definition
PPI
also EHT (Endoscopic hematostatic therapy) - which includes *EPINEPHRINE* and thermal/mechanical therapies) |
|
|
Term
| BLEEDING esophageal varicies |
|
Definition
EHT (Endoscopic hematostatic therapy which includes *EPINEPHRINE* and thermal/mechanical therapies)
+
Octreotide (first line) or Vasopressin (second line)
Because octreotide and vasopressin cause vasoconstrictive effects, these can be mitigated with IV NTG |
|
|
Term
| Can UGIB be due to H. Pylori? How is it treated? |
|
Definition
H. Pylori can lead to UGIB
Treat H. Pylori with triple therapy:
Either: PPI + Clarithromycin + Amoxicillin
OR
PPI + Clarithromycin + Metronidazole
for 1-2 weeks |
|
|
