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    Chapter 85 Hematemesis

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    Titin
    Hematemesis is vomiting blood, melena is black tarry stools, and hematochezia is fresh blood in the stool. These symptoms indicate acute gastrointestinal bleeding, which is a potential medical emergency. The goals in managing such bleeding are to restore blood volume, diagnose the source and cause of bleeding, and treat the underlying cause definitively. The medical history aims to confirm bleeding, estimate its amount, identify the source, and check for other diseases that could impact outcomes.

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    Chapter 85 Hematemesis

    Uploaded by

    Titin
    53 views1 page
    Hematemesis is vomiting blood, melena is black tarry stools, and hematochezia is fresh blood in the stool. These symptoms indicate acute gastrointestinal bleeding, which is a potential medical emergency. The goals in managing such bleeding are to restore blood volume, diagnose the source and cause of bleeding, and treat the underlying cause definitively. The medical history aims to confirm bleeding, estimate its amount, identify the source, and check for other diseases that could impact outcomes.

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    Hematemesis, Melena

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    Hematemesis is vomiting blood, melena is black tarry stools, and hematochezia is fresh blood in the stool. These symptoms indicate acute gastrointestinal bleeding, which is a potential medical emergency. The goals in managing such bleeding are to restore blood volume, diagnose the source and cause of bleeding, and treat the underlying cause definitively. The medical history aims to confirm bleeding, estimate its amount, identify the source, and check for other diseases that could impact outcomes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    53 views1 page

    Chapter 85 Hematemesis

    Uploaded by

    Titin
    Hematemesis is vomiting blood, melena is black tarry stools, and hematochezia is fresh blood in the stool. These symptoms indicate acute gastrointestinal bleeding, which is a potential medical emergency. The goals in managing such bleeding are to restore blood volume, diagnose the source and cause of bleeding, and treat the underlying cause definitively. The medical history aims to confirm bleeding, estimate its amount, identify the source, and check for other diseases that could impact outcomes.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Chapter 85 Hematemesis, Melena, and Hematochezia

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    Definition
    Hematemesis is the vomiting of blood, which may be obviously red or have an appearance
    similar to coffee grounds. Melena is the passage of black, tarry stools. Hematochezia is the
    passage of fresh blood per anus, usually in or with stools.

    Technique
    Hematemesis, melena, and hematochezia are symptoms of acute gastrointestinal
    bleeding. Bleeding that brings the patient to the physician is a potential emergency
    and must be considered as such until its seriousness can be evaluated. The goals in
    managing a major acute gastrointestinal hemorrhage are to treat hypovolemia by
    restoring the blood volume to normal, to make a diagnosis of the bleeding site and
    its underlying cause, and to treat the cause of the bleeding as definitively as
    possible. The history should be directed toward (1) confirming the presence of
    bleeding; (2) estimating its amount and rapidity; (3) identifying the source and
    potential specific causes; and (4) eliciting the presence of serious associated
    diseases that might adversely affect the outcome (Table 85.1). The information
    obtained is especially helpful in identifying situations that require aggressive
    management.

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