Page 244 - 2021 IDMT Digital
P. 244
GASTROINTESTINAL BLEEDING
Introduction:
• 8SSHU *, %OHHG
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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
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0HOHQD LQ PRVW FDVHV EODFN WDUU\ VWRRO
o /RZHU *, EOHHG
%5%35 EULJKW UHG EORRG SHU UHFWXP
+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
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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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