Page 244 - 2021 IDMT Digital
P. 244

GASTROINTESTINAL BLEEDING
          Introduction:
            •  8SSHU *, %OHHG
                 o        PRUWDOLW\
                 o  6HOI OLPLWHG LQ     RI SDWLHQWV
                 o  (WLRORJ\  38'  SRUWDO K\SHUWHQVLRQ  QHRSODVPV  YDVFXODU DQRPDOLHV  0DOORU\
                    :HLVV WHDUV  HURVLYH JDVWULWLV RU HVRSKDJLWLV
            •  /RZHU *, %OHHG
                 o      RI FDXVHV DULVH IURP FRORQ
                 o  (WLRORJ\  GLYHUWLFXORVLV  QHRSODVPV  FROLWLV  ,%'  DQRUHFWDO GLVHDVH  KHPRUUKRLGV
                    ILVVXUHV
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  8SSHU *, EOHHG
                       ƒ  +HPDWHPHVLV  EULJKW UHG EORRG RU ³FRIIHH JURXQGV´
                       ƒ  0HOHQD LQ PRVW FDVHV  EODFN  WDUU\ VWRRO
                 o  /RZHU *, EOHHG
                       ƒ  %5%35  EULJKW UHG EORRG SHU UHFWXP
                       ƒ  +HPDWRFKH]LD LQ PRVW FDVHV

          Objective:
            •  3K\VLFDO ([DP
                 o  9LWDO VLJQV  DVVHVV KHPRG\QDPLF VWDWXV  K\SRWHQVLRQ  WDFK\FDUGLD  SRVVLEOH
                    VKRFN
                 o  )XOO JDVWURLQWHVWLQDO H[DP LQFOXGLQJ '5(
                 o  6LJQV RI VKRFN  SDOORU  GLDSKRUHVLV  HWF
            •  7RROV
                 o  2FFXOW EORRG  JXDLDF
                 o  /DEV  &%&
                 o  3RVVLEOH UDGLRORJ\ VWXGLHV  &7 RU 05,
                 o  3RVVLEOH XSSHU RU ORZHU HQGRVFRS\
          Assessment:
            •  'LIIHUHQWLDO UHODWHG WR W\SH RI EOHHGLQJ QRWHG
                 o  %URZQ VWRROV PL[HG RU VWUHDNed ZLWK EORRG  UHFWRVLJPRLG RU
                    DQXV  KHPRUUKRLGV ILVVXUH
                 o  /DUJH YROXPHV RI %5%  FRORQLF VRXUFH
                 o  0DURRQ VWRROV  ULJKW FRORQ RU VPDOO LQWHVWLQH
                 o  %ODFN VWRROV  PHOHQD   8*, VRXUFH
                 o  3DLQOHVV  ODUJH YROXPH EOHHGLQJ  GLYHUWLFXODU VRXUFH
                 o  %ORRG\ GLDUUKHD ZLWK FUDPSLQJ DEGRPLQDO SDLQ  FROLWLV  LQIHFWLRus YHUVXV
                    LQIODPPDWRU\
















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