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Upper GI Bleeding Case 2 Alonzo, Amaro, Amolenda, Anacta, Andal.

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Presentation on theme: "Upper GI Bleeding Case 2 Alonzo, Amaro, Amolenda, Anacta, Andal."— Presentation transcript:

1 Upper GI Bleeding Case 2 Alonzo, Amaro, Amolenda, Anacta, Andal

2 45 y/o male CC: severe abdominal pain

3 crampy epigastric pain relieved by food or antacid melena Consult: – UGI endoscopy – Dx: erosive gastritis – Irregular intake of unrecalled medications 3 years PTA

4 Epigastric pain Melena Self Tx: Omeprazole – Relieved Severe epigastric pain 1 year PTA few hours PTA admission

5 Review of Systems No wt loss No dizziness No chest pain

6 Personal History 10 pack years smoking Drinks alcoholic beverage for 8 years

7 Past Medical History (-) HPN (-) DM Family Medical History (-) CA

8 Physical Examination conscious, coherent, in distress BP = 140/90 PR = 105/min RR = 26/min T = 37.8 o C Warm moist skin no active dermatoses Pink palpebral conjunctivae, anicteric sclerae Heart and Lungs: regular rate and rhythm, clear breath sounds Abdomen: flat, hypoactive bowel sound, (+)guarding and ternderness (all quadrants); DRE – brown stool on tactating finger

9 Chest X-ray

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