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Clinical CPD topic

Upper gastrointestinal bleeding: practise, reflect and record

Practise upper gastrointestinal bleeding through five clinical cases, review the explanations and build a professional learning record. Prioritise ABC resuscitation and recognise when active bleeding with thrombocytopenia warrants platelet transfusion.

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What you’ll work on

  • Prioritise ABC resuscitation and recognise when active bleeding with thrombocytopenia warrants platelet transfusion.
  • Select pre-endoscopy drug management for suspected variceal versus non-variceal bleeding.
  • Determine endoscopy timing after adequate resuscitation in severe unstable upper gastrointestinal bleeding.

Think through a clinical case

Decide how you would approach this case before opening the question session.

A 35-year-old with haematemesis is confused, cool peripherally and hypotensive at 78/44 mmHg. The endoscopy team is available. What is the immediate priority?

A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.

From a decision to a learning record

  1. Test your reasoning. Answer five questions from this topic’s clinical-content library.
  2. Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
  3. Reflect on application. Describe what you learned and what you would change or investigate.
  4. Review your evidence. Confirm the activity and time spent, then retain or export your professional record.

Primary sources and further reading

Read the source in the same jurisdiction as your question session.