Stop and Think
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

    Issues of immediate importance
Hematemesis
  • Source of the bleeding?
  • Still actively hemorrhaging?
Low hemoglobin and hematocrit
  • How low is it going to go?
  • Should blood products be considered?
  • Could this complicate other medical conditions, for example coronary heart disease (?), renal function (?).
  • Is there a risk of a generalized bleeding problem (DIC) developing as consequence of whatever is the underlying condition?
More questions for consideration.
 

 

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