Upper gastrointestinal bleeding resident survival guide: Difference between revisions
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{{familytree | | | | | | | | A01 |A01=<div style="float: left; text-align: left; height: 10em; width: 20em; padding:1em;">'''Characterize the symptoms:'''<br> | {{familytree | | | | | | | | A01 |A01=<div style="float: left; text-align: left; height: 10em; width: 20em; padding:1em;">'''Characterize the symptoms:'''<br> | ||
---- ❑ Blood in [[vomiting]]<br> ❑ Coffee ground emesis<br>❑ Black, tarry stools<br>❑ | ---- ❑ Blood in [[vomiting]]<br> ❑ Coffee ground emesis<br>❑ Black, tarry stools<br>❑ Frank blood in stools<br>❑ Maroon colored stool<br>❑ [[Abdominal pain]] | ||
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Revision as of 20:18, 20 January 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Twinkle Singh, M.B.B.S. [2]
Definition
This section provides a short and straight to the point definition of the disease or symptom in one sentence.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Management
Shown below is an algorithm summarizing the approach to [[disease name]].
Characterize the symptoms: ❑ Blood in vomiting ❑ Coffee ground emesis ❑ Black, tarry stools ❑ Frank blood in stools ❑ Maroon colored stool ❑ Abdominal pain | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Physical examination ❑ Abdominal tenderness ❑ Involuntary guarding ❑ Heart rate (tachycardia suggests blood loss) ❑ Orthostatic blood pressure changes (hypotension suggests massive blood loss) ❑ Rectal exam to assess stool color ❑ Guaiac test | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Order tests ❑ Blood type and cross-match ❑ Hemoglobin concentration ❑ Platelet count ❑ Prothrombin time and INR ❑ Liver enzymes ❑ BUN ❑ Creatinine | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||