PPT-Lower GI Bleeding BY Dr.

Waleed M Abdel Maksoud MBBCh MS MD MRCS England Definitions Melena is passage of digested blood mainly mixed with bile and intestinal secretions which is characteristically described as black tarry soft sticky offensive stools It may cause a red halo around the soft fecal mass if mixed with water or urine. Ron Hoffman, MD. Thrombosis & Hemostasis Unit. Rambam Medical Center. Objectives. . Clinical aspects of bleeding. Medical history. Personal. Family . Physical exam. Approach to laboratory abnormalities. Chapter 22 page 650. The . Significance . of . Bleeding. When patient have serious external blood loss it is often difficult to determine the amount of blood that is present because it may be absorbed into the surface the patient is on or clothing. . Morey A. Blinder, M.D.. Associate Professor of Medicine. and Pathology & Immunology. Objectives. Coagulation factor disorders and treatment. Disorders of platelets and platelet transfusion. Adjunctive drug therapy for bleeding. Maria C. Monge, MD. Director of Adolescent Medicine. Dell Children’s Medical Center. UTSW-Austin Pediatrics Residency Program. Lone Star Circle of Care. Disclosures. I have no relevant financial disclosures.. Dr. . Nishan. Silva. (MBBS). Lower GI Bleeding. A common presentation. Arises from: Small Intestine, Colon, Rectum, Anus. 3. categories. Occult bleeding . – FBC . Low Hb or +FOB. Moderate bleeding . ASPIRE SSP Section . 10.6.1 . Updates. 31 January 2014. A Genital Bleeding Decision Tree has been developed to help guide documentation of genital . bleeding.. Above . all, clinical discretion should be used to determine if the participant is experiencing normal menstrual bleeding.. Interprofessional version 071614. Case Study 1. Yvonne, a 24-year-old married female, calls the clinic first thing in the morning with a complaint of heavy vaginal bleeding. . “I bled through my tampon and pad again, and my nightgown and bedding are soiled. I’m sick of this – I just want it to stop!”. By: Abdulrahman Sindi. ED Resident. Case Scenario. A 55-year-old male not known to have any medical illness, presented to the E.D. complaining of blood in his vomitus two times this day.. HR:120. BP:95/60. Recognition and Management of Patients with Hemophilia/von . Willebrand. Disease and Platelet Disorders. Rebecca Schaffer, DDS. Assistant Professor, Special Needs Care Unit. Associate Administrative Director, AEGD. Sonnie. Kim-. Ashchi. , MD. FACOG. Patient No 1. Emily is 14 years old, started her first menses last year, irregular at the beginning , now regular monthly. But she reports heavy bleeding that soaks through her uniform. And very “ inconvenient” to have heavy bleeding during her soccer/ lacrosse/crew practices. Maria C. Monge, MD. Director of Adolescent Medicine. Dell Children’s Medical Center. UTSW-Austin Pediatrics Residency Program. Lone Star Circle of Care. Disclosures. I have no relevant financial disclosures.. Yasser Orief M.D.. Fellow . Lübeck. University, Germany.. DAOG, . Auvergné. University, France.. Case 1. C/O . Irregular menses x 6 months. 23 . yo. G1P1. 2 menses in past 6 months, heavier and longer than normal.. menapause. How you will Mange her. What about history taken . confirm . menopausal, when . was your last period?. Frequency. Length. quantity of bleeding . (The woman may report individual episodes of spotting, or she may report days or months of profuse bleeding).. LGI Bleeding :. Abnormal hemorrhage . into the lumen of the bowel from a source distal to the . ligament . of . Treitz. . . 95% from the colon .. Up . to 40% of patients with lower GI bleeding, more than one potential source of hemorrhage is identified. .