Posted: December 11, 2014 Format: PDF
Upper GI Bleed One-Page Primer
Upper GI bleeding (UGIB) is a haemorrhage from the esophagus to the ligament of Treitz. It commonly presents with melena (dark stool containing partially digested blood) and/or hematemesis (vomiting of blood). Peptic ulcer disease (PUD) is the most common cause with NSAID use and H pylori infection being major risk factors associated with bleeding. Endoscopy of the upper GI tract with esophagogastroduodenoscopy (EGD) allows for direct visualization of upper GI lesions and is often necessary for diagnosis and management.
This one-page primer provides useful clinical information on a primary care topic. Physicians, medical trainees and other health care practitioners could use these short documents as a point-of-care tool, a reference or a study aid. Use of this information to guide clinical care must be done in the context of appropriate medical knowledge and clinical judgement.
The material is presented with a special focus on family medicine and primary care. The content is evidence-based and employs Canadian guidelines where available.
Depending on the topic, the one page PDF file will include an overview, risk factors, definitions, etiologies, diagnostic considerations, management or approach, investigations, referral guidelines, pharmacotherapy, algorithms, patient resources and the bottom line.
The topics in the DFCMOpen One Page Primer series generally address and supplement The College of Family Physicians of Canada’s “99 Priority Topics” for family medicine residents in Canada.
Creation and revision dates are clearly presented at the top of each document and references can be found online at One Pager Project References.