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Gastrointestinalemergencies Richard

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Gastrointestinal Emergencies Dr Richard Warner SpR Gastroenterology September 2005
GI emergencies ,[object Object],[object Object],[object Object],[object Object]
Upper GI Bleeding ,[object Object],[object Object],[object Object]
Causes of Upper GI Bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Varices
Varices
Varices
Oesophagitis
Mallory Weiss Tear
Gastric ulceration
Angiodysplasia
Duodenal Ulceration
Symptoms at Presentation ,[object Object],[object Object],[object Object]
Management of Upper GI Bleed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factors in History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Severe UGI Bleed/ High risk ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Rockall Scoring System (Risk of rebleeding and death)
Rockall Scoring System 2 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Endoscopy for UGI Bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evidence for Intravenous Omeprazole ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Variceal Bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapy for Varices ,[object Object],[object Object],[object Object],[object Object],[object Object]
Endoscopic Therapy of Varices ,[object Object],[object Object]
Medical Therapy of Bleeding Varices ,[object Object],[object Object],[object Object]
Sengstaken
 
Primary and Secondary Prevention of Variceal Bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object]
Role of Beta-blockers ,[object Object],[object Object],[object Object],[object Object],[object Object]
TIPPS
Transjugular Intrahepatic Porto-systemic Shunt ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of TIPSS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Variceal Bleed Treatment Plan ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lower GI Bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Paracetamol Overdose ,[object Object],[object Object],[object Object],[object Object],[object Object]
High risk paracetamol overdoses ,[object Object],[object Object],[object Object]
 
Paracetamol OD Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Paracetamol Overdose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management of Paracetamol OD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognostic factors ,[object Object],[object Object],[object Object],[object Object]
 
Severe Ulcerative colitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms severe UC ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Assessment of severe UC ,[object Object],[object Object],[object Object],[object Object]
Management of Severe UC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Course of Severe UC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Crohn’s colitis ,[object Object],[object Object],[object Object]
 
 
 
Liver Failure/Decompensation ,[object Object],[object Object],[object Object],[object Object]
Decompensation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ascites is not just a Cosmetic Problem ! ,[object Object],[object Object],[object Object],[object Object]
SBP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Hepatorenal syndrome Splanchnic vasodilatation Effective underfilling Salt and water retention Vasoconstrictor systems Renal vasoconstriction Hepatorenal syndrome Ascites
Hepatorenal syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hepatorenal syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hepatorenal syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hepatorenal syndrome ,[object Object],[object Object],[object Object],[object Object]
Hepatorenal syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hepatorenal Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hepatorenal Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hepatorenal syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hepatorenal syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Gastrointestinalemergencies Richard