Gastroenterology
Approach to the patient with digestive bleeding
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- Gastrointestinal bleeding10 questionsPractise
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11 questions
Practise these insteadA 79-year-old woman is admitted with ongoing lower gastrointestinal bleeding and a haemoglobin concentration of 72 g/L (reference range 115–155). She is receivi…
Pre-internship · middle twist
A 56-year-old man with alcohol-related cirrhosis presents with profuse vomiting of blood. He is agitated, intermittently drowsy and repeatedly coughing while bl…
Clinical rotations · common
A 61-year-old man is brought to the emergency department after fainting and passing a large amount of bright red blood. His blood pressure is now 102/70 mmHg af…
Clinical rotations · middle twist
A 74-year-old woman presents with sudden passage of a large volume of dark red blood per rectum. After two litres of intravenous crystalloid her blood pressure…
Pre-internship · middle twist
A 58-year-old man with established alcohol-related cirrhosis presents with two episodes of black, offensive stool and light-headedness. His blood pressure is 10…
Clinical rotations · middle twist
A 69-year-old man has had three episodes of melaena over two months and requires repeated iron infusions. He takes no non-steroidal anti-inflammatory drugs and…
Clinical rotations · common
A 67-year-old man presents with recurrent passage of bright-red blood and clots. After initial fluid replacement, his blood pressure is 126/74 mmHg and pulse is…
Clinical rotations · middle twist
A 54-year-old man with cirrhosis secondary to chronic hepatitis C presents with two episodes of haematemesis over the past hour. On arrival his blood pressure i…
Clinical rotations · middle twist
A 72-year-old woman with well-compensated alcoholic cirrhosis (Child-Pugh A) is referred due to persistent iron deficiency anaemia. She denies haematemesis, mel…
Clinical rotations · niche
A 76-year-old man presents to the emergency department with a 6-hour history of passing large volumes of bright red blood per rectum. He feels lightheaded and f…
Clinical rotations · middle twist
A 32-year-old male presents to the emergency room complaining of multiple episodes of forceful vomiting followed by vomiting of blood. The patient consumed a bo…
Clinical rotations · common