SAQ 282 – Gastroenterology – major lower gastrointestinal bleeding on warfarin

Marked out of 12.00

An 85-year-old woman taking warfarin for atrial fibrillation presents with six hours of bright-red rectal bleeding and lower abdominal discomfort. She continues bleeding and becomes hypotensive despite commencement of packed red cells.

List the seven (7) most likely causes of bleeding.

(Marked out of 7.0)


/ 7

Her INR is pending and you decide to reverse warfarin empirically. List three (3) reversal agents with doses.

(Marked out of 3.0)

Agent Dose
1.
2.
3.


/ 3

State one (1) rationale for CT angiography and one (1) rationale for radionucleotide scanning when locating the bleeding source.

(Marked out of 2.0)

Investigation Rationale
CT angiography
Radionucleotide scan


/ 2

Total Score: 0 / 12

Percentage: 0%

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