Upper gastrointestinal bleeding physical examination

	Upper gastrointestinal bleeding Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Upper Gastrointestinal Bleeding from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Management Initial resuscitation Pharmacotherapy Risk stratification
Surgery Surgical Management Endoscopic Intervention
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Guidelines for Management
Case Studies
Case #1
Upper gastrointestinal bleeding physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Upper gastrointestinal bleeding physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Upper gastrointestinal bleeding physical examination
CDC on Upper gastrointestinal bleeding physical examination
Upper gastrointestinal bleeding physical examination in the news
Blogs on Upper gastrointestinal bleeding physical examination
Directions to Hospitals Treating Upper gastrointestinal bleeding
Risk calculators and risk factors for Upper gastrointestinal bleeding physical examination

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]

Vitals

Hypotension
Tachycardia^[6]
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.
↑ 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.
↑ 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.

Template:WikiDoc Sources

[Palmer2007-1] Palmer, K. (2007). "Acute upper gastrointestinal haemorrhage". British Medical Bulletin. 83 (1): 307–324. doi:10.1093/bmb/ldm023. ISSN 0007-1420.

[van_Leerdam2008-2] 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.

[pmid24267496-3] 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.

[pmid22416103-4] 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.

[pmid21603524-5] 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.

[pmid25102077-6] 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.

[1]

[2]

[3]

[4]

[5]

[6]