منابع مشابه
Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis.
OBJECTIVES The utility of nasogastric aspiration and lavage in the emergency management of patients with melena or hematochezia without hematemesis is controversial. This evidence-based emergency medicine review evaluates the following question: does nasogastric aspiration and lavage in patients with melena or hematochezia and no hematemesis differentiate an upper from lower source of gastroint...
متن کامل[Campylobacter enterocolitis complaining of melena].
A 38-year-old man was admitted to our hospital complaining of 5 episodes of melena without abdominal pain or diarrhea. No abnormalities were noted through an upper gastrointestinal endoscopy, but a proctoscopy revealed a large amount of coagulated blood within the rectum immediately before his admission. A colonoscopy revealed spotty redness with dark-red coagulation in the region from the sple...
متن کاملMediastinal histoplasmosis causing massive hematemesis.
spontaneous breathing as soon as possible 2 and lowpressure suction of the chest tubes after operation are critical.2, 3 Some ventilatory support is necessary, however, when a patient continues to have hypoventilation after operation. Pressure-controlled ventilation rather than volume-controlled ventilation has been recommended for such patients because it can deliver high inspired gas flows in...
متن کاملRuptured Thoracic Aneurysm Causing Hematemesis
We present a 72-year-old man who was admitted to the gastroenterology ward after a frank hematemesis. He had been seen 5 days prior in clinic with dysphagia, anorexia, weight loss, and pain in the epigastrium and thoracic spine. At admission he was stable with normotensive blood pressure, not tachycardic, and had hemoglobin 12.5 g/dL. On examination there was epigastric tenderness, but the abdo...
متن کاملRenal Function and the Azotemia following Hematemesis.
Elevation of the blood urea nitrogen following massive hemorrhage from the stomach and duodenum is a frequent occurrence (1). Its mechanism is not the same as that associated with high intestinal obstruction, as it occurs in the absence of any vomiting (2) (e.g. in the presence of melena alone4), and is associated with a normal or increased blood chloride concentration (3, 4, 5) and a normal ca...
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ژورنال
عنوان ژورنال: Nihon Naika Gakkai Zasshi
سال: 2011
ISSN: 0021-5384,1883-2083
DOI: 10.2169/naika.100.208