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GI Hemorrhage Case Study with Complete Solutions What initial symptoms might a patient with an upper gastrointestinal hemorrhage present with during a routine clinic visit? Hematemesis (vomiting blood) and melena (black, tarry stools) How might a history of chronic alcohol use contrib...

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  • August 28, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
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GI Hemorrhage Case Study with
Complete Solutions
What initial symptoms might a patient with an upper gastrointestinal hemorrhage present with

during a routine clinic visit?




✔✔ Hematemesis (vomiting blood) and melena (black, tarry stools)




How might a history of chronic alcohol use contribute to the risk of gastrointestinal hemorrhage?




✔✔ Chronic alcohol use can lead to conditions like esophageal varices or gastritis, increasing the

risk of GI bleeding.




If a patient presents with a significant drop in hemoglobin levels, what immediate interventions

should be considered?




✔✔ Blood transfusion and intravenous fluids to stabilize hemodynamics, along with endoscopic

evaluation to identify the bleeding source.




1

, What diagnostic procedure is most commonly used to locate the source of bleeding in upper GI

hemorrhage?




✔✔ Esophagogastroduodenoscopy (EGD) is the primary diagnostic tool to locate and treat upper

GI bleeding.




In the case of a patient with upper GI bleeding and hemodynamic instability, what

pharmacologic agents are typically administered?




✔✔ Proton pump inhibitors (PPIs) to reduce gastric acid, octreotide for variceal bleeding, and

possibly antibiotics for prophylaxis in variceal bleeding.




How can a history of NSAID use contribute to the development of gastrointestinal hemorrhage?




✔✔ NSAIDs can cause gastric or duodenal ulcers, which are common causes of upper GI

bleeding.




If endoscopy fails to identify the source of bleeding, what alternative diagnostic approach might

be employed?



2

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