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6 Cards in this Set
- Front
- Back
Key History -
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Amount
duration context - after severe vomiting alcohol ingestion nosebleed associated Sxs - constitutional nausea abdom pain dyspepsia meds - warfarin NSAIDs h/o PUD liver disease AAA repair easy bleeding |
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Key PE -
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Vital signs
orthostatics ENT heart lung abdom rectal |
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45 y/o F
coffee-ground emesis for the last 3 days stool dark and tarry h/o intermittent epigastic pain relieved by food and antacids What is Differential? |
Bleeding peptic ulcer
gastritis gastric cancer esophageal varices |
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45 y/o F
coffee-ground emesis for the last 3 days stool dark and tarry h/o intermittent epigastic pain relieved by food and antacids What is Workup? |
Rectal exam
CBC, electrolytes AST/ALT/bilirubin/alk phos endoscopy |
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40 y/o F
presents with epigastric pain and coffee-ground emesis h/o RA treated with aspirin alcoholic What is Differential? |
Gastritis
bleeding peptic ulcer gastric cancer esophageal varices mallory-weiss tear |
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40 y/o F
presents with epigastric pain and coffee-ground emesis h/o RA treated with aspirin alcoholic What is Workup? |
Rectal exam
CBC, electolytes AST/ALT/bilirubin/alk phos barium swallow endoscopy |