medportal CDB | GI Bleed

GI Bleed

Activity
Round Table Discussion

Curriculum Block

Clerkship / Surgery Rotation

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Objectives

Clerkship Objectives

Gastritis
Discuss the differences in evaluation and management of the patient presenting with: hematemesis, melena, hematochezia, guaiac positive stool.
Discuss diagnostic studies (stomach).
Discuss history and physical exam abnormalities (stomach).
Differentiate upper vs. lower GI hemorrhage.
Discuss indications for transfusion, fluid replacement, and choice of fluids.
Outline the initial management of a patient with an acute GI hemorrhage.
Upper and Lower GI hemorrage
Carcinoma
Gastric outlet Obstruction
Outline the initial management of a patient with an acute GI hemorrhage. Discuss indications for transfusion, fluid replacement, and choice of fluids.
Perforation
Peptic Ulcer disease
Discuss the pathophysiology and treatment of achalasia and diffuse esophageal spasm. (Mallory-Weiss tear; Achalesia; Variceal Bleeding; Zenker’s Diverticulum; Perforation)
Discuss Barrett’s esophagus and its implications. What are the risks of malignancy? Who needs surgical management?
Discuss the evaluation of dysphagia.
Discuss the appropriate diagnostic work-up of a patient with suspect reflux. What is the role of: barium swallow; endoscopy; manometry; 24 hour pH testing.
Discuss management for: peptic ulcer, variceal hemorrhage, Mallory-Weiss tear gastric ulcer (benign vs. malignant), Meckel's diverticulum , intussusceptions, diverticulosis , ulcerative colitis, colon cancer, rectal cancer, hemorrhoids, AV malformation.
Discuss the differences in evaluation and management of the patient presenting with: hematemesis, melena, hematochezia, guaiac positive stool.
Differentiate upper vs. lower GI hemorrhage. Discuss history and physical exam abnormalities. Discuss diagnostic studies.

Curriculum Block

Objectives

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