PPT-Upper GI Haemorrhage: A Bleeding Mystery !!

Yoke Lim ST3 Radiology Amandeep Kahlon ST 2 Radiology Dr Appu Rudralingam Consultant Radiologist Dr Haider Alwan Walker Consultant Radiologist Manchester Foundation Trust Wythenshawe Hospital. Presented by Dr Azza Serry. Learning objectives . Definition , causes &classification .. Pathophysiology & physiological response of haemorrhagic shock .. Management of haemorrhagic shock . . Haemorrhage. . and the NASG. ©Suellen Miller 2013. Obstetric . Haemorrhage. Definition: . obstetric . haemorrhage. . is heavy bleeding during pregnancy, labor or the postpartum. Bleeding in excess of 500mL or in any amount that causes changes in vital signs. Managing Upper . GI Bleeds . What the . endoscopist. sees. What we see. 1. Learn causes and various characteristics.. 2. Learn appropriate workup and treatment. . 3. Review intubating the unstable upper GI. Bleeding → . Hypovolaemia. → . Hypoperfusion. . Cellular . anaerobic metabolism + Lactic acidosis . ↓ . coag.proteases. → . coagulopathy. & . Hge. . { . ↑ . Ischaemic. cells - anticoagulation pathway } . Usama . Abdulmageed. General laparoscopic and endoscopic surgery. Upper GIT Bleeding. Objectives :. 1- to enumerate the . c. auses of hematemesis and melena .. 2-to detect the patient who at high risk ?. Hematemesis-melena. Pendahuluan. Pengelolaan. . Perdarahan. . Saluran. . Cerna. . Bagian. . Atas. : IPD.Ed.5: FKUI. 2009. Ligamentum. . treitz. Image: www.google.com. POIN PENTING. PSCBA . berpotensi. Dr. . Tarek. . Mazzawi. , MD, PhD. Department of Internal Medicine. Faculty od Medicine. Al-. Balqa’a. Applied University. 2020. Agenda. Initial patient evaluation. Pharmacotherapy. Endoscopic therapy. 2018-2019. Haemorrhage . →. hypovolaemic shock . T. issue . trauma . + . hypovolaemic . shock . →. Acute . T. raumatic Coagulopathy . (ATC. ). ATC . → . Trauma-Induced . C. oagulopathy . (. TIC) . VOL. 15, NO. 4 APRIL 2016 61 Embolization for Upper GI Bleeding A cute nonvariceal upper gastrointestinal (GI) bleeding remains a challenging presentation due to significant morbidity and mortalit 37 Hematemesis is an alarm symptom requiring a prompt upper endoscopy. Different lesions of the esophagus, stomach and duodenum may manifest with such a symptom. The most frequent causes include gastr template. * . An MHP includes a multidisciplinary approach to haemorrhage control^, correction of coagulopathy and normalisation of patient physiological parameters . (insert key contact names and numbers). An MHP includes a multidisciplinary approach to haemorrhage control, correction of coagulopathy and normalisation of physiological parameters. Senior clinician determines patient requires MHP activation. 1. Acute lower gastrointestinal bleeding. Naseralla J Elsaadi. Consultant General Surgeon. Department of Surgery. Benghazi Medical Centre. 2. Abstract. Acute lower gastrointestinal bleeding often presents a challenging. G.H.. 63 . y.o. . T2DM Hypertensive ♀. PC: - Vomiting. HPC: - Felt unwell after a sandwich 2 days ago. . - vomited 4-5x with ‘dark water’. . - . epigastric. pain, nil at present. . - 2 days of dark stool.