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4 Cards in this Set
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- Back
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H&P
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Risk factors: Male gender, smoking, aspirin and otherNSAIDs, uremia, Z-E syndrome,
H. pylori, trauma, burn injury Symptoms: Epigastric pain—burning or aching, usuallyseveral hours after a meal (food, milk, or antacids initially relieve pain) Bleeding Back pain Nausea, vomiting, and anorexia ↓ appetite Signs:Tenderness in epigastric area (possibly),guaiac-positive stool, melena, hematochezia, hematemesis |
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Differential diagnosis:
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Acute abdomen, pancreatitis, cholecystitis,all causes of UGI bleeding, Z-E syndrome, gastritis, MI, gastric ulcer,
reflux |
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Labs and imaging:
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Same labs and imaging for GI bleed. Upper GI series
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Management and intervention:
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Review in surgical recall 258-260
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