Today we discussed the case of an elderly man who presented with an upper GI bleed in the setting of known cirrhosis. A variceal bleed was suspected.Management of an upper GI bleed is a common scenario faced in our hospital's Emergency Department. Keep the following questions in mind:
1) Is my patient stable (ABCs, IV access -large bore, and on the monitor)?
2) Do they need fluid?
3) Do they need blood?
4) Are they coagulopathic?
5) What management can I initiate now (acid suppression, octreotide)?
6) Do I need to call Gastroenterology now?
Here is a link to a recent review on the management of variceal bleeds in the setting of cirrhosis.
Finally, here is a link for a review on the natural history and consequences of Hepatitis B.
2 comments :
Wow if you hadn't mentioned this site today I would have never known it existed. Good recaps.
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