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Quick takeaways
- For upper gastrointestinal bleeding, urgent upper endoscopy should be considered based on clinical stability.
- For lower gastrointestinal bleeding, urgent colonoscopy is typically warranted, and CT angiography or tagged red cell scans may be considered for unstable patients or those with contraindications to colonoscopy.
Deep dives
Upper Gastrointestinal Bleeding Management
For patients presenting with upper gastrointestinal bleeding, a thorough history and physical examination are crucial. The decision to perform an urgent upper endoscopy depends on clinical stability. Intravenous proton pump inhibitors (PPIs) are recommended to reduce ulcer severity and length of stay. Repeat endoscopy may be considered if there are concerns about malignancy. Timing of endoscopy varies based on clinical presentation.
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