Upper gastrointestinal bleeding physical examination: Difference between revisions
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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><ref name="pmid24267496">{{cite journal |vauthors=Feinman M, Haut ER |title=Upper gastrointestinal bleeding |journal=Surg. Clin. North Am. |volume=94 |issue=1 |pages=43–53 |year=2014 |pmid=24267496 |doi=10.1016/j.suc.2013.10.004 |url=}}</ref><ref name="pmid22416103">{{cite journal |vauthors=Srygley FD, Gerardo CJ, Tran T, Fisher DA |title=Does this patient have a severe upper gastrointestinal bleed? |journal=JAMA |volume=307 |issue=10 |pages=1072–9 |year=2012 |pmid=22416103 |doi=10.1001/jama.2012.253 |url=}}</ref><ref name="pmid21603524">{{cite journal |vauthors=Beck DE, Margolin DA, Whitlow CB, Hammond KL |title=Evaluation and management of gastrointestinal bleeding |journal=Ochsner J |volume=7 |issue=3 |pages=107–13 |year=2007 |pmid=21603524 |pmc=3096402 |doi= |url=}}</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><ref name="pmid24267496">{{cite journal |vauthors=Feinman M, Haut ER |title=Upper gastrointestinal bleeding |journal=Surg. Clin. North Am. |volume=94 |issue=1 |pages=43–53 |year=2014 |pmid=24267496 |doi=10.1016/j.suc.2013.10.004 |url=}}</ref><ref name="pmid22416103">{{cite journal |vauthors=Srygley FD, Gerardo CJ, Tran T, Fisher DA |title=Does this patient have a severe upper gastrointestinal bleed? |journal=JAMA |volume=307 |issue=10 |pages=1072–9 |year=2012 |pmid=22416103 |doi=10.1001/jama.2012.253 |url=}}</ref><ref name="pmid21603524">{{cite journal |vauthors=Beck DE, Margolin DA, Whitlow CB, Hammond KL |title=Evaluation and management of gastrointestinal bleeding |journal=Ochsner J |volume=7 |issue=3 |pages=107–13 |year=2007 |pmid=21603524 |pmc=3096402 |doi= |url=}}</ref><ref name="pmid25567834">{{cite journal |vauthors=Owensby S, Taylor K, Wilkins T |title=Diagnosis and management of upper gastrointestinal bleeding in children |journal=J Am Board Fam Med |volume=28 |issue=1 |pages=134–45 |year=2015 |pmid=25567834 |doi=10.3122/jabfm.2015.01.140153 |url=}}</ref> | ||
===Vitals=== | ===Vitals=== | ||
*[[Hypotension]] | *[[Hypotension]] |
Latest revision as of 17:21, 10 November 2017
Upper gastrointestinal bleeding Microchapters |
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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][3][4][5][6]
Vitals
- Hypotension
- Tachycardia[7]
- Thready pulse
- Hypoxia
Abdomen
Skin
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
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.
- ↑ Feinman M, Haut ER (2014). "Upper gastrointestinal bleeding". Surg. Clin. North Am. 94 (1): 43–53. doi:10.1016/j.suc.2013.10.004. PMID 24267496.
- ↑ Srygley FD, Gerardo CJ, Tran T, Fisher DA (2012). "Does this patient have a severe upper gastrointestinal bleed?". JAMA. 307 (10): 1072–9. doi:10.1001/jama.2012.253. PMID 22416103.
- ↑ Beck DE, Margolin DA, Whitlow CB, Hammond KL (2007). "Evaluation and management of gastrointestinal bleeding". Ochsner J. 7 (3): 107–13. PMC 3096402. PMID 21603524.
- ↑ Owensby S, Taylor K, Wilkins T (2015). "Diagnosis and management of upper gastrointestinal bleeding in children". J Am Board Fam Med. 28 (1): 134–45. doi:10.3122/jabfm.2015.01.140153. PMID 25567834.
- ↑ Pezzulo G, Kruger D (2014). "Assessing upper gastrointestinal bleeding in adults". JAAPA. 27 (9): 19–25. doi:10.1097/01.JAA.0000453234.32378.cb. PMID 25102077.