Upper GIT Bleeding Short Case PDF
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Summary
This document is a medical case study on a patient presenting with upper gastrointestinal bleeding. The case presentation details symptoms, examination findings, and possible diagnoses, including esophageal varices secondary to liver disease, potentially suggesting a possible history of hepatitis, intravenous drug use, and alcohol consumption.
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GI BLEEDING SHORT CASE BY : Dr. Mariam Wagih Under Supervision of: Dr. Soha Soud History Mohammed Ahmed Hussein, 59 years old, male who lives in Menufeya with a known case of hypertension and Hepatitis C. Patient was presented to the ER with Hemate...
GI BLEEDING SHORT CASE BY : Dr. Mariam Wagih Under Supervision of: Dr. Soha Soud History Mohammed Ahmed Hussein, 59 years old, male who lives in Menufeya with a known case of hypertension and Hepatitis C. Patient was presented to the ER with Hematemesis started early that day, which is red in color and 1 small cup full(approximately 100ml), on same day of admission. It was sudden and this was the second episode of hematemesis according to the patient. This is associated with loose black stool (melena), abdominalpain, dizziness, fatigue and loss of appetite. Examination Vitalsigns Temperature : 37.0ᵒC Pulse rate : 77 beats per minute Blood pressure : 144/77mmHg Respiratory rate : 18 breaths per minute Examination ( cont.) Examination Of The Abdomen Inspection : Theabdomenwasdistended. Palpation: No rigidity, No guarding and tenderness of abdomen. Spleenomegaly. Question What is your provisional diagnosis? Answer Diagnosis Points to support Esophageal Varices secondary to Liver Disease - Past history of hematemesis and melena - History of Hepatitis C (known history of liver disease) - Intravenous drug user - Alcohol consumer and smoker - Abdominal pain - Loss of appetite - Loose stool (diarrhea)
