Approach To Gi Bleed Jeopardy Template

Diagnosis + Investigations	Management	Risk Factors	Miscellaneous
100 What is colonoscopy Best diagnostic test for lower GI bleeds	100 Increase fibre intake Treatment for diverticulosis	100 Age, low fibre diet, physical inactivity, obesity 2 risk factors for diverticulosis	100 What is the ligament of Treitz Anatomical point of demarcation between upper GI bleed and lower GI bleed
200 What are CBC, coags, type + crossmatch, renal panel with lytes 4 initial LAB investigations to order if you expect an acute GI bleed	200 Anusol (zinc active ingredient) or Preparation H (phenylephrine active ingredient) Medical management for external hemorrhoids	200 Age, family history, familial adenomatous polyposis, Lynch syndrome, IBD, long-term consumption of red meats or processed meats 3 risk factors for colon cancer	200 What is diverticulosis Most common cause of lower GI bleed
300 What are iron supplements, beets, and pepto bismol (bismuth salicylate) 3 dietary or supplement causes that can mimic bleeding per rectum	300 Cautery, embolization, or band ligation Treatment of angiodysplasia	300 Genetic (Ashkenazi Jewish), smoking, lack of physical activity, increased dietary intake of total fat, animal fat, and polyunsaturated fatty acids 2 risk factors for Crohn's disease	300 What are ulcers Most common cause of upper GI bleed
400 Fecal calprotectin Name of stool test that can be ordered if you suspect IBD but don't have quick access to colonoscopy for diagnosis	400 What is quadruple therapy (PPI + amoxicillin + metronidazole + clarithromycin OR PPI + pepto + metronidazole + tetracycline) Treatment for H. pylori	400 Cirrhosis Risk factor for esophageal varices	400 What is pancreatic cancer Type of cancer Alex Trebek is currently battling
500 Stool antigen Best test to order to diagnose H. pylori	500 IV fluids, keep NPO, NG tube aspiration Initial management of unstable upper GI bleed	500 Constipation, diarrhea, vaginal delivery, anal sex 2 risk factors for anal fissures	500 90% Percentage of Mallory-Weiss tears that resolve on their own

Approach to GI Bleed

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