Submitted by Jeffrey Lake on Mon, 06/26/2017 - 9:13am How confident are you recognizing the symptoms of a bleeding disorder? * Very confident Confident Somewhat confident Not very confident How often do you ask about bleeding at non-GI sites in patients with GI bleeding (eg, epistaxis, heavy menstrual bleeding, etc)? * Always Often Sometimes Rarely How confident are you treating a patient with a bleeding disorder? * Very confident Confident Somewhat confident Not very confident Do you know who to contact for referrals when you diagnose a patient with a bleeding disorder? * I know with certainty I have some idea I don’t know How often do you refer patients with GI bleeding to a hematologist? * Always Often Sometimes Rarely How often do you co-manage a patient with GI bleeding in consultation with a hematologist or with a provider at a Hemophilia Treatment Center? * Always Often Sometimes Rarely Never A 65-year-old man with aortic stenosis presents with melena. Upper GI endoscopy is unremarkable. What is the most likely cause of bleeding? * Cecal carcinoma Heyde syndrome Duodenal ulcer Ulcerative colitis How confident are you managing GI bleeding in a patient with von Willebrand disease? * Very confident Confident Somewhat confident Not very confident What do you look for primarily in patients with GI bleeding? Please rank by priority. * 1234 Lesions (eg, angiodysplasia) Lesions (eg, angiodysplasia) - 1 Lesions (eg, angiodysplasia) - 2 Lesions (eg, angiodysplasia) - 3 Lesions (eg, angiodysplasia) - 4 Structural (eg, diverticulosis) Structural (eg, diverticulosis) - 1 Structural (eg, diverticulosis) - 2 Structural (eg, diverticulosis) - 3 Structural (eg, diverticulosis) - 4 Carcinoma Carcinoma - 1 Carcinoma - 2 Carcinoma - 3 Carcinoma - 4 Other Other - 1 Other - 2 Other - 3 Other - 4 Other How many patients with von Willebrand disease and GI bleeding do you see in the average month? * 3 or less 4-10 11-20 21-30 >30 I don’t know All of the following statements about angiodysplasia are true except: * Aortic stenosis is associated with angiodysplasia About 40 to 60 percent of patients have more than one angiodysplasia Angiodysplasia accounts for about one-half of GI bleeding in patients with end-stage renal disease Angiodysplasia occurs most frequently in patients 30 to 50 years old Angiodysplasia is associated with congenital and acquired von Willebrand disease Which of the following statements is incorrect regarding von Willebrand disease (VWD) and GI bleeding? * GI bleeding typically requires a higher dose of von Willebrand factor and/or longer treatment Aberrant blood vessels are less common in the GI tract than elsewhere in the body GI bleeding in VWD warrants secondary prophylaxis due to its tendency to reoccur Adjuvant approaches are not consistently effective for angiodysplasia Which of the following methods do you use for treatment in most cases of angiodysplasia? (Select all that apply) * Endoscopic thermocoagulation Laser coagulation Surgical resection Hormone therapy Tranexamic acid Octreotide acetate Thalidomide von Willebrand factor Other... Which of the following methods do you use for treatment in most cases of angiodysplasia? (Select all that apply) Other... What topics in continuing education related to von Willebrand disease and GI bleeding would you like to see offered? If you are interested in participating in the raffle for a $100/€100 Amazon gift card, please fill out the following: First Name: Last Name: Email: Leave this field blank
