• Upper GIT bleeding: finding ass with high risk of bleeing are>> endoscopic adherent clot (black), Blood in stomach or duodenum and high Rockall score. Do urgent endoscopy if patient in shock, continuing bleeding And Suspect varices.
• In bleeding ulcer do 2 from the following: adrenalin injection, thermal coagulation,laser or clipping
• Omepral decrese rebleeding and need of surgery.triplressin decrease mortality in varicealk bleeding
• Varices prophylactic : BB (cost effective) or banding (better)
• Iron deficiency anemia d2 GIT> hoock worm (stool analysis) or chronic bleeding (upper then lower endoscopy then capsule endoscopy then celiac and mesenteric angio)
• Lowe GIT bleeding investigation>> proctoscopy> flexible sigmiodoscopy> colonoscopy> angiography
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