gi_bleeding上消化道出血.pptVIP

G.I. Bleeding Presented by: Ahmed T. Al-Suwaidi Mohamed S. Al-Hoqani G.I. Bleeding Case 50 yrs, Pakistani, male C/O: Bleeding/rectum Abd. pain Painless bleeding, 1 yr – excess bleeding, 1 month Black, 4-5 times/day, little quant. Abd. pain Vomiting, 1 week G.I. Bleeding Case M.H: * no peptic ulcer disease * no medications (NSAIDs) * no urinary symptoms * not known DM, HPTN, IHD ** weight loss G.I. Bleeding Case O/E: * Afebrile * no pallor * not dyspneaic * no lymphoadenopathies * no S.C.L.N G.I. Bleeding Case Vital Signs: * Pulse: 78 bts/min * BP: 130/80 * R