Upper GI Bleeding

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Upper GI Bleeding

Presentation

• haematemesis
  • fresh blood
  • coffee grounds
• melaena

History

• primary bleeding vs. Mallory-Weis tear
• Varices / Alcohol
• NSAIDS

Examination

• shock
• abdomen
  • for liver disease
• PR

Investigations

• group and save
• endoscopy

Treatment

• depends on cause
• sclerotherapy
• banding
• Sengstaken-Blakemore tubes

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