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Gastrointestinal Bleed 

Gastrointestinal Bleed
Chapter:
Gastrointestinal Bleed
Source:
Acute Care Casebook
Author(s):

Oliver Hulland

DOI:
10.1093/med/9780190865412.003.0031

The case illustrates how to approach the diagnosis and management of gastrointestinal bleeds. Principles of gastrointestinal anatomy are reviewed to discern the relative location of the bleed and the impact this has on management. This chapter reviews critical steps including early adequate access, anticoagulation, and the need for reversal agents, octreotide, early endoscopy, and empiric antibiotics for risk of infection. An illustration of the Sengstaken-Blakemore tube, which is placed in unstable and difficult to control upper gastrointestinal bleeds, is included.

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