Haemetemesis

Haemetemesis


HAEMETEMESIS

  • Haemetemesis is vomiting blood may be red with clots when bleeding is profuse or black (coffee ground).

Etiology-

  • Oesophagitis
  • Mallory- Weiss tear
  • Varices
  • Peptic ulcer
  • Gastric erosions
  • Carcinoma of stomach or oesophagus

Clinical features-

  • Syncope
  • Anameia
  • Melaena

Treatment–

  • IV access
  • Resuscitation- oxygen in patients with shock
  • Endoscopy
  • Surgery for ulcer bleeding

Exam Important

Etiology-

  • Oesophagitis
  • Mallory- Weiss tear
  • Varices
  • Peptic ulcer
  • Gastric erosions
  • Carcinoma of stomach or oesophagus
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