For this case-control study, newly diagnosed cases of UGIB were identified from 25 hospitals in Eastern Massachusetts, 18 hospitals in the region of Stockholm , Sweden , and 12 hospitals in Budapest , Hungary. For each case, neighbor U. Cases and controls were interviewed at home by telephone U. For the cases, information on the symptoms and clinical course of their illness were also obtained, along with a copy of their hospital discharge summary. There were cases of UGIB and controls included in the study. Key published findings include associations with various NSAIDs; a dose-response relation of UGIB with alcohol consumption; a similar risk due to enteric coated and buffered aspirin compared with regular aspirin; and a lack of association with calcium channel blockers.
When should I transfuse a patient who has anemia?
When should I transfuse a patient who has anemia? | The Hospitalist
Bleeding from the esophagus may occur from esophageal varices, dilation of the veins in the esophagus. One of the symptoms of upper GI bleeding is vomiting of blood hematemesis. If the blood travels through the GI tract, the stool may appear tarry and black melena because of digested blood, though the stool can still be stained with red blood hematochezia. The diagnosis is easier when the patient has hematemesis. Determining whether a patient truly has an upper GI bleed versus lower gastrointestinal bleeding is difficult.
Cases Journal volume 2 , Article number: Cite this article. Metrics details. An 80 year old man presented to the Accident and Emergency Department complaining of "black stools", increasing shortness of breath, chest tightness and epigastric pain. An upper gastro-intestinal bleed was diagnosed and the patient was managed conservatively with aggressive resuscitation and close monitoring. An oesophogastroduodenoscopy found no cause for the bleeding which ceased and the patient was discharged with a general practitioner follow-up.