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Medicine

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Liver & GIT

Question
7 out of 18
 

All can be used as endoscopic sclerosants in the treatment of variceal bleeding, except: (AIIMS Nov 10)



A Polidocanol
B Cyanoacrylate

C Alcohol
D Acetic acid

Ans. D Acetic acid

Treatment:

Acute bleeding

Patient may have low BP due to hypovolemia than 1st step in the management is to raised the BP. (Hemodynamic stability)

Blood Transfusion should be done to raise the BP (blood for blood)!!!

Treatment to stop acute bleeding

a. Sclerotherapy b. Sengstaken tube c. Octreotide d. Vasopressin e. Terlipressin

Sclerosing agent

1. Polidocanol

2. N butyl – cyanoacrylate (glue injection)

3. Absolute alcohol / phenol

4. Ethanolamine maleate

5. Na tetradecyl SO4

Extra Edge: Acetic acid is not use as a sclerosing agent.

Liver & GIT Flashcard List

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