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. MD Department of Gastroenterology Cleveland Clinic Foundation Cleveland Ohio I PREAMBLE Guidelines for clinical practice are intended to suggest preferable approaches to particular medical problems as established by interpretation and collation of s Andrew McDonald. Alberts Cellular Therapy. “All bleeding eventually stops”. n. Modified Virchow’s triad. BLEEDING. Blood flow. Size. BP. Vessel wall. Endothelial activation. Collagen disorders. 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.. A new classification system. Abnormal Uterine Bleeding. Overarching term for the symptom of disturbed . menstral. bleeding. Discarded terms. DUB. Menorrhagia. AUB will be subdivided by causes such as polyps, ovulation disorders, . How Frequent Is Bleeding With NOACs?. Bleeding Risk: HAS-BLED. Bleeding Scores in AF. Biomarkers in AF. Reasons for and Implications of Elevated GDF-15 Level. GDF-15 in ARISTOTLE. GDF-15. Strongest Bleeding Marker. 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.. 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.. To �nd out more, visit haemophilia.org.uk or contact us on 020 7939 0780 or at info@haemophilia.org.uk Charity no. 288260 (England & Wales) SC039732 (Scotland) UK company 1763614 FACTSHEE Alaraji. B.D.S.F.I.B.M.S. These are conditions that alter ability of blood vessels, platelet, and coagulation factors to maintain homeostasis. Inherited bleeding disorder are genetically transmitted while acquired bleeding disorders occur as the result of diseases that affect vascular wall integrity, platelets, coagulation factors, and drugs which cause bleeding, radiation, or chemotherapy for treatment of cancer also result in bleeding problems . . Begum. .. MBBS(DMC), FCPS(surgery). Associate Professor. Department of Surgery. MCWH, . Uttara. .. Case presentation . Patient 1. : A 55 year old female presented with a . lump. in. right side. of abdomen with occasional. Dr. Tariq Aladily. Associate professor. Department of Pathology. The University of Jordan. tnaladily@ju.edu.jo. Abnormal bleeding. Defined as spontaneous bleeding or prolonged bleeding after trauma. Caused by abnormality in:. Dr. Mohammad Al-. Katari. Consultant Adult Hematology & Internal Medicine. King Khalid University Hospital – King Saud University. Outlines . Bleeding Disorders. Overview of Hemostasis.. Approach to the bleeding Pt.. 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. .