Acute U.G.I. Bleeding
• Aetiology:
– 1. Drugs (Aspirin & NSAIDs) – 2. Alcohol – 3.Chronic peptic ulceration (50% of GI
hemorrhage) – 4.Others: reflux esophagitis, varices, gastric
carcinoma, acute gastric ulcers & erosions.
Acute U.G.I. Bleeding
• Clinical approach:
– 1. recent (24 hrs), then hospitalized. – 2. if small amount, no immediate Tx, because
• Heart: NAD • Lung: NAD
G.I. Bleeding Case
• Abd.: * not distended * no epigast. tenderness * tender, firm, partly mobile mass at Rt lumbar region. * spleen not palpable * Lt lobe liver palpable, mildly tender * bowel sounds present
CVS can compensate – 3. 85% stop bleeding during 48 hrs – 4. history helps in diagnosing the cause of the
hemorrhage, eg: long history of indigestion, or previous hem. from ulcers.