Upper GIT bleeding Ppt Powerpoint Presentation slides Abdulzahra Hussain FRCS,Diploma Surgery,FICMS Medical Slideshow UPPER GIT BLEEDING HEMATEMESIS

Upper GIT bleeding

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Mahboob on Oct 16, 2009 Says :

Thank you for a nice presentation.

james on Oct 14, 2009 Says :

excellent work , very helpful. dr james palli

Monem on Oct 12, 2009 Says :

thank you , the presentation needs more information about therapeutic OGD

magdi on Oct 10, 2009 Says :

Iam interested in this ppt

magdi on Oct 10, 2009 Says :

I great need to joint you

Grace on Sep 07, 2009 Says :

thank u very much for sharing

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Notes

Show Notes

Slide 1 :

Upper Gastrointestinal Bleeding A HUSSAIN Mr S EL-HASANI General surgery department June 2007

Slide 2 :

Definition Bleeding proximal to the ligament of trietze

Slide 3 :

Anatomy

Slide 4 :

Presentation Haematemesis Malena Haematochezia Anemia Fecal Occult Blood

Slide 5 :

Natural History 75% of cases will stop spontaneously 25% Will Require surgery Develop complications Die Amount and Rate of Bleeding

Slide 6 :

Common Causes Peptic ulcer Duodenal ulcer Gastric ulcer Gastritis Oesophagitis Mallory – Weiss syndrome Esophageal varices

Slide 7 :

Uncommon Causes Gastric carcinoma Pancreatitis Haemobilia Duodenal diverticulum

Slide 8 :

Immediate Management Airway + Oxygen Breathing Circulation Ng Tube? Catheter?

Slide 9 :

Lab Investigations FBC U & E Clotting Cross match

Slide 10 :

History Mode of bleeding Rate Duration Frequency Co-morbidities Bleeding tendencies Drugs,warfarin,NSAID,

Slide 11 :

Examination Physical exam Clinical diagnosis of the cause is possible in 60% of cases

Slide 12 :

Assessment of the blood loss Estimated fluid and blood losses for 70 kg man Source Resuscitation council/UK

Slide 13 :

Investigations Endoscopy: OGD, Colonoscopy,enteroscopy Construct study CT – Scan Angiography

Slide 14 :

Gastroscopy Endoscopy should be done within 24 H Adrenaline injection Heat probe Argon plasma coagulation

Slide 15 :

Surgery For uncontrollable bleeding by endoscopy (Severe upper GIT bleeding)

Slide 16 :

Risk Factors Shock on presentation Hb < 8 gm Age > 60 Y Gastric ulcer Rebleeding Spurting vessel Deficiency of blood

Slide 17 :

Endoscopic erosive gastritis

Slide 18 :

Gastritis produced by aspirin and other nonsteroidal anti-inflammatory drugs

Slide 19 :

Benign gastric ulcer

Slide 20 :

Duodenal ulcer

Slide 21 :

Cardia carcinoma

Slide 22 :

Mallory-Weiss tear

Slide 23 :

Two ulcers in the mid oesophagus

Slide 24 :

Large esophageal varices

Slide 25 :

	azahrahussain@yahoo.com 1 Years ago. Category: Surgery

Tags:	Surgery

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