Health Questions and Answers

Archive for December, 2007

Question: What are predictors of poor outcome in patients presenting with bleeding ulcers?

Sunday, December 30th, 2007

Answer: Elderly patients (age > 60yr) Patients with fresh blood per NG tube or rectum Patients who remain hemodynamically unstable despite aggressive resuscitative measures Patients who have four or more comorbid illnesses (e.g., cardiac disease, liver disease, diabetes) NSAID use Reference: Sleisenger MH, Fordtran JS (eds): Gastrointestinal Disease: Pathophysiology, Diagnosis, and Management, 7th ed. Philadelphia, […]

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Question: Is examination of the skin helpful in identifying the source of an upper GI bleed?

Saturday, December 29th, 2007

Answer: The skin examination can be helpful for suggesting a potential source if certain stigmata are present. Lymphadenopathy or abdominal masses may suggest sources for intra-abdominal pathology SKIN FINDINGS IN CONDITIONS THAT CAUSE GI BLEEDING Disease Associated skin findings Peutz-Jeghers Pigmented macules on lips, palms, soles Malignant melanoma Melanoma Hereditary hemorrhagic telangiectasias Telangiectasias on lips, […]

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