GASTROINTESTINAL BLEEDING(GIB)

NGOC BAO4TH-YEAR

• DEFINITIONS• CLINICAL FEATURES• ETIOLOGY

DEFINITION

• BLEEDING IN GASTROINTESTINAL TRACT

CLINICAL FEATURES

• HEMATEMESIS= vomit + blood/”coffee ground” material

• HEMATOCHEZIA= rectum + bright red/maroon blood

• MELENA= black, tarry, foul-smelling stool• OCCULT GIB= FOBT (+)/ unexpected IDA• ANEMIA= symptoms of ANEMIA

ETIOLOGY

• THE UPPER GIB( UGIP)• THE LOWER GIB(LGIP)

UGIP

• MANY• COMMONS : “Mallory Got Us Very Alarmed”– M: Mallory Weiss tear– G: Gastritis– U: PUD– V: Varices– A: Arteriovenous malformation (AVM)

LGIP

• MANY• COMMONS:– Anorectal disorders: hemorrhoids, anal fissure– Inflammatory bowel disease– Angiodysplasia– Diverticulosis