doc4life
Forum Guru
Topics: 131
Posts: 240
|
A 56-year-old male with a history of heavy alcohol
use presents to the ED complaining of vomiting blood
for several hours. Vital signs are BP of 90/60, pulse of
110, respiratory rate of 16, and temperature of 98°F.
Primary resuscitative measures are begun, and placement
of an NGT shows active bright red bleeding.
Which of the following is the treatment of choice?
(A) Tamponade with a Sengstaken-Blakemore tube
(B) Therapeutic upper GI endoscopy
(C) Octreotide infusion
(D) Vasopressin infusion
(E) Immediate referral for surgical intervention
|
|
|
E?
|
| alice8
Forum Guru
Topics: 37
Posts: 643
|
I think he is suffering from Bleeding esophageal varices....All of them can be used as treatment choices but i think trying Therapeutic upper GI endoscopy first would be better ..
Emergency surgery may be necessary to treat patients for whom other treatment fails
___________________
Dream on 'til your dream comes true.
|
| doc4life
Forum Guru
Topics: 131
Posts: 240
|
u r right alice8
|
| drrabines
Forum Elite
Topics: 90
Posts: 184
|
When you have an upper GI bleeding the first step (obviously not life threat) is to see where the bleed comes from, so the answer has to be B
|
| son64
Forum Elite
Topics: 34
Posts: 245
|
I will pick b
|
| Medicine Guy
Forum Junior
Topics: 11
Posts: 68
|
A)
all setups may not have every thing available.
I would just push in a Sengstaken-Blakemore tube
and then prepare for the endoscopy.
___________________
www.xpindia.com - affordable medical web hosting
|
| mkodumagulla
Forum Senior
Topics: 12
Posts: 99
|
I too will go with the ans B
|
| Drmos
Forum Junior
Topics: 8
Posts: 41
|
h/o OH = variceal esofagic
Bleedin from VE (most likely) = tto
Unstable hemodinamically = IV fluids, blood transfusion, upper endoscophy
Stable hemodinamically = TIPS
Answer B.
See you.
|
| md2besoon
Forum Elite
Topics: 33
Posts: 228
|
B
___________________
Service to others is the rent that you pay for your room here on earth.
|
|
| |
| | | | | | | | | | |
