Gastrointestinal Hemorrhage (GI Bleed)


Epidemiology


Risk Factors

Coagulopathy

Acquired Vitamin K Deficiency (see Vitamin K, [[Vitamin K]])

Anticoagulation

Antiplatelet Agents

Coagulopathic Conditions

IIb/IIIa Inhibitors (see IIb IIIa Inhibitors, [[IIb IIIa Inhibitors]])

Thrombocytopenia (see Thrombocytopenia, [[Thrombocytopenia]])

Thrombolytics (see Thrombolytics, [[Thrombolytics]])

Drugs


Etiology-Upper Gastrointestinal Hemorrhage

Etiology-Lower Gastrointestinal Hemorrhage


Etiology

Toxin

Drugs


Diagnosis

NG Tube

Rectal Exam

Tagged RBC Scan

IR Mesenteric Angiogram


Clinical Manifestations-Upper Gastrointestinal Hemorrhage

Cardiovascular Manifestations

Gastrointestinal Manifestations

Clinical Manifestations-Lower Gastrointestinal Hemorrhage

Cardiovascular Manifestations

Gastrointestinal Manifestations


Treatment

Treatment of Non-Variceal Upper Gastrointestinal Hemorrhage

Supportive Care

Correction of Coagulopathy

Packed Red Blood Cell Transfusion

Nasogastric Tube Insertion

Proton Pump Inhibitors (PPI)

Esophagogastroduodenoscopy (EGD)

[MEDLINE]

Interventional Radiology Embolization

Reinstitution of Cardiovascular Anti-Platelet Agents


Treatment of Variceal Upper Gastrointestinal Hemorrhage


Treatment of Lower Gastrointestinal Hemorrhage


References