Upper gastrointestinal bleeding physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with chronic upper GI bleeding usually appear fatigue, on contrast depending upon the amount of blood loss, patient appear in distress and shock in acute upper GI bleeding. | Patients with chronic upper GI bleeding usually appear fatigue, on contrast depending upon the amount of blood loss, patient appear in distress and shock in acute upper GI bleeding. | ||
==Physical Examination== | ==Physical Examination== | ||
Patients with chronic upper GI bleeding usually appear fatigue, on contrast depending upon the amount of blood loss, patient appear in distress and shock in acute upper GI bleeding. Other physical examination findings include:<ref name="Palmer2007">{{cite journal|last1=Palmer|first1=K.|title=Acute upper gastrointestinal haemorrhage|journal=British Medical Bulletin|volume=83|issue=1|year=2007|pages=307–324|issn=0007-1420|doi=10.1093/bmb/ldm023}}</ref><ref name="van Leerdam2008">{{cite journal|last1=van Leerdam|first1=M.E.|title=Epidemiology of acute upper gastrointestinal bleeding|journal=Best Practice & Research Clinical Gastroenterology|volume=22|issue=2|year=2008|pages=209–224|issn=15216918|doi=10.1016/j.bpg.2007.10.011}}</ref> | Patients with chronic upper GI bleeding usually appear fatigue, on contrast depending upon the amount of blood loss, patient appear in distress and shock in acute upper GI bleeding. Other physical examination findings include:<ref name="Palmer2007">{{cite journal|last1=Palmer|first1=K.|title=Acute upper gastrointestinal haemorrhage|journal=British Medical Bulletin|volume=83|issue=1|year=2007|pages=307–324|issn=0007-1420|doi=10.1093/bmb/ldm023}}</ref><ref name="van Leerdam2008">{{cite journal|last1=van Leerdam|first1=M.E.|title=Epidemiology of acute upper gastrointestinal bleeding|journal=Best Practice & Research Clinical Gastroenterology|volume=22|issue=2|year=2008|pages=209–224|issn=15216918|doi=10.1016/j.bpg.2007.10.011}}</ref> | ||
Revision as of 18:00, 6 November 2017
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Upper gastrointestinal bleeding Microchapters |
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Differentiating Upper Gastrointestinal Bleeding from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Patients with chronic upper GI bleeding usually appear fatigue, on contrast depending upon the amount of blood loss, patient appear in distress and shock in acute upper GI bleeding.
Physical Examination
Patients with chronic upper GI bleeding usually appear fatigue, on contrast depending upon the amount of blood loss, patient appear in distress and shock in acute upper GI bleeding. Other physical examination findings include:[1][2]
Vitals
- Hypotension
- Tachycardia
- Thready pulse
- Hypoxia
Abdomen
- Bowel sounds
- Abdominal tenderness
- Hepatomegaly
- Splenomegaly
- Caput medusa
- Spider angiomata
Skin
- Palmar erythema
- Palar
- Cold clammy extremities
Neurological examination
- Altered sensations
- Poor mentation
- Drowsiness
Rectal examination
- Occult blood
- Gross blood
- Bright red blood per rectum
- Melena
- Burgundy stools
- Blood coating stools versus within stools
- Bloody diarrhea
Extremities
- Peripheral edema
References
- ↑ Palmer, K. (2007). "Acute upper gastrointestinal haemorrhage". British Medical Bulletin. 83 (1): 307–324. doi:10.1093/bmb/ldm023. ISSN 0007-1420.
- ↑ van Leerdam, M.E. (2008). "Epidemiology of acute upper gastrointestinal bleeding". Best Practice & Research Clinical Gastroenterology. 22 (2): 209–224. doi:10.1016/j.bpg.2007.10.011. ISSN 1521-6918.