doc_friend_india
Forum Junior
Topics: 16
Posts: 34
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what is the management og lower gi bleed ?
plz tell me where to find it atleast ... it is something not given properly anywhere ... what alll topics will it include?
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| fero
Forum Newbie
Topics: 2
Posts: 10
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1.flexable sigmoidoscopy.
2.colonoscopy.
3.bleeding scan.
4angiography..........
IN THAT ORDER.... :idea: GL
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| mash
Forum Fanatic
Topics: 147
Posts: 1,326
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1) sigmoidoscopy and anoscopy-- if pt's age<45 and source found , no further inv unless bleeding persists or recur
if pt >45-- colonoscopy /sigmoidoscopy to r/o tm
2) colonoscopy
urgent colonoscopy(within 1 hr) --if bleeding is severe or continuous
3) bleeding scan
4) angiograhy-- only if bleeding is ongoing and severe or Tc scan is +ve
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| noelle
Forum Elite
Topics: 59
Posts: 226
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n dont forget to resuscitate with iv fluids if massive bleed ,bfore putting scopes in 
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| mash
Forum Fanatic
Topics: 147
Posts: 1,326
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oh yeah
1st thing is to stabilize the pt
and then find out the source of bleeding
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I hear and I forget. I see and I remember. I do and I understand.
--Confucius
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| nafisa
Forum Newbie
Topics: 4
Posts: 19
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i just wanted to confirm that if bleeding is>2ml/min then we go with angiography before bleeding scan
and if<.5ml/min then we go with bleeding scan and if puddling is seen tehn do angiogram as well
and if no active bleeding then go with lower endoscopy
actually its all very confusing just trying to get my facts straight
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| liiAmra
Forum Newbie
Topics: 4
Posts: 14
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Should not do colonoscopy if the pt is actively bleeding because you will be going blindly (upcoming blood will obscure the field) and might perforate.
if >2ml/min angio
if <.5ml/min wait till bleeding stops then do colonoscopy
in between do tagged rbc
if tagged rbc puddles do angiogram
is that correct?
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| doc_friend_india
Forum Junior
Topics: 16
Posts: 34
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thanks
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