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6 Cards in this Set

  • Front
  • Back
Key History -
Amount
duration

context -
after severe vomiting
alcohol ingestion
nosebleed

associated Sxs -
constitutional
nausea
abdom pain
dyspepsia

meds -
warfarin
NSAIDs

h/o PUD
liver disease
AAA repair
easy bleeding
Key PE -
Vital signs
orthostatics
ENT
heart
lung
abdom
rectal
45 y/o F
coffee-ground emesis for the
last 3 days
stool dark and tarry
h/o intermittent epigastic
pain relieved by
food and antacids

What is Differential?
Bleeding peptic ulcer

gastritis
gastric cancer
esophageal varices
45 y/o F
coffee-ground emesis for the
last 3 days
stool dark and tarry
h/o intermittent epigastic
pain relieved by
food and antacids

What is Workup?
Rectal exam
CBC, electrolytes
AST/ALT/bilirubin/alk phos
endoscopy
40 y/o F
presents with epigastric pain
and coffee-ground emesis
h/o RA treated with aspirin
alcoholic

What is Differential?
Gastritis

bleeding peptic ulcer
gastric cancer
esophageal varices
mallory-weiss tear
40 y/o F
presents with epigastric pain
and coffee-ground emesis
h/o RA treated with aspirin
alcoholic

What is Workup?
Rectal exam
CBC, electolytes
AST/ALT/bilirubin/alk phos
barium swallow
endoscopy