PC: Haematemesis Flashcards
what further questions do you need to ask to eplore this symptom
the timing
- when it started, was it acute/gradual, duration, progression, intermittent or continuous
the vomit
- how much, how often, consistency, colour and contents (mucus blood, bile if vomiting
what relevant systems review questions do you need to ask
GI
- weight loss: how much, intentional or not, appetite changes
work down the body: dysphagia, indigestion/heartburn. abdo pain, bowel habits changes, blood or mucus in the stools
what differentials are you thinking of with haematemesis
peptic ulcer haemorrhage
oesophageal varices
mallory-weis tear
haemorrhage gastritis/oesohpagitis
what are the clues/symptoms for the following condition
peptic ulcer haemorrhage
previous gastritis symptoms
Epigastric discomfort or pain
Nausea and vomiting
Dyspepsia
Bleeding causing haematemesis, “coffee ground” vomiting and melaena
Iron deficiency anaemia (due to constant bleeding)
what are the clues/symptoms for the following condition
oesophageal varices
history of liver disease/alcoholism
may be encephalopathic or alcohol withdrawal
what are the clues/symptoms for the following condition
mallory weis tear
multiple vomits before Haematemesis onset
commonly after binge drinking
what are the clues/symptoms for the following condition
haemorrhage gastritis/oesophagtitis
previous gastritis symptoms
risk factors ie NSAIDS, alcohol, spicy foods
what are the following symptoms stereotypical of
previous gastritis symptoms
Epigastric discomfort or pain
Nausea and vomiting
Dyspepsia
Bleeding causing haematemesis, “coffee ground” vomiting and melaena
Iron deficiency anaemia (due to constant bleeding)
peptic ulcer haemorrhage
what are the following symptoms stereotypical of
history of liver disease/alcoholism
may be encephalopathic or alcohol withdrawal
oesophageal haemorrhage
what are the following symptoms stereotypical of
multiple vomits before Haematemesis onset
commonly after binge drinking
mallory weis tear
what are the following symptoms stereotypical of
previous gastritis symptoms
risk factors ie NSAIDS, alcohol, spicy foods
haemorrhage gastritis/oesophagtitis
