tailieunhanh - Chapter 042. Gastrointestinal Bleeding (Part 1)

Harrison's Internal Medicine Chapter 42. Gastrointestinal Bleeding Gastrointestinal Bleeding: Introduction Bleeding from the gastrointestinal (GI) tract may present in five ways. Hematemesis is vomitus of red blood or "coffee-grounds" material. Melena is black, tarry, foul-smelling stool. Hematochezia is the passage of bright red or maroon blood from the rectum. Occult GI bleeding (GIB) may be identified in the absence of overt bleeding by a fecal occult blood test or the presence of iron deficiency. Finally, patients may present only with symptoms of blood loss or anemia such as lightheadedness, syncope, angina, or dyspnea. Sources of Gastrointestinal Bleeding . | Chapter 042. Gastrointestinal Bleeding Part 1 Harrison s Internal Medicine Chapter 42. Gastrointestinal Bleeding Gastrointestinal Bleeding Introduction Bleeding from the gastrointestinal GI tract may present in five ways. Hematemesis is vomitus of red blood or coffee-grounds material. Melena is black tarry foul-smelling stool. Hematochezia is the passage of bright red or maroon blood from the rectum. Occult GI bleeding GIB may be identified in the absence of overt bleeding by a fecal occult blood test or the presence of iron deficiency. Finally patients may present only with symptoms of blood loss or anemia such as lightheadedness syncope angina or dyspnea. Sources of Gastrointestinal Bleeding UPPER GASTROINTESTINAL SOURCES OF BLEEDING Table 42-1 The annual incidence of hospital admissions for upper GIB UGIB in the United States and Europe is with a mortality rate of 5-10 . Patients rarely die from exsanguination rather they die due to decompensation from other underlying illnesses. The mortality rate for patients 60 years in the absence of major concurrent illness is 1 . Independent predictors of rebleeding and death in patients hospitalized with UGIB include increasing age comorbidities and hemodynamic compromise tachycardia or hypotension . Table 42-1 Sources of Bleeding in Patients Hospitalized for Upper GI Bleeding in Years 2000-2002 Sources of Bleeding Proportion of Patients Ulcers 31-59 Varices 7-20 Mallory-Weiss tears 4-8 Gastroduodenal erosions 2-7 Erosive esophagitis 1-13 Neoplasm .

• Y học thường thức
• Gastrointestinal Bleeding
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Journal of medical research
• Non variceal upper gastrointestinal bleeding and factors related
• Gastrointestinal bleeding and factors related to recurrence
• Hanoi medical university hospital
• Non variceal upper gastrointestinal bleeding
• Upper gastrointestinal bleeding
• BMC Pharmacology and Toxicology
• Proton pump inhibitors
• Cardiovascular disease
• Upper gastrointestinal
• BMC Pediatrics
• Iron deficiency anemia
• Vascular malformations
• Obscure gastrointestinal bleeding
• Idiopathic pulmonary haemosiderosis
• Summary of Doctoral dissertation
• Subclinical characteristics
• Factors associated
• Dengue pediatric patients
• Gastrointestinal imaging
• Diffuse and vascular liver disease
• Pharynx and esophagus
• Small bowel
• Perianal fistula
• Benign colonic polyps
• Abdominal Pain
• Bowel Disease
• Bleeding Disorders
• Multiple Myeloma
• Pain Management
• Social Science
• Post treatment ulceration
• Bleeding after cyanoacrylate injection
• Duodenal varices
• Postprocedural gastrointestinal bleed
• Colorectal varices
• kiến thức y học
• y học phổ thông
• tài liệu y học
• y học cho mọi người
• dinh dưỡng y học
• tài liệu ngành y
• lý thuyết y khoa
• bệnh thường gặp
• chuyên ngành y học
• medical books
• pharmacology
• epidemiologic
• Obstetrics
• anatomy
• Preventing Morbidity
• Multidisciplinary Care
• Pediatric
• Hemato Oncology
• Thalassemia Disorders
• Neuroblastoma and Whole
• Genome Searches
• Neuroblastoma
• báo cáo khoa học
• báo cáo y học
• công trình nghiên cứu về y học
• tài liệu về y học
• cách trình bày báo cáo
• trình bày báo cáo
• tài liệu báo cáo khoa học
• nghiên cứu y học