study_ing
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1.with bloody diarrhea..dont forget
2. post-op pt, NOT on anticoagulant, has deranged PT nad APTT..dont forget..
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| study_ing
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the guys 65 btw 
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| tolito
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1. bowel ischemia ?
2. mismatch of blood transfused??
( these are tough )
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| frank100
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how much time post OP? depends
1.depends on the intensity of bleeding, and type: active bleeding, only blood lickeage, etc...but this is an emergency though and must be addressed this way so: Hx and P/E, IV line plus ringers lactate, then labs, then upper endoscopy.............................
I know you wanna get to a point here study_ing, you always want to teach us something new but...what is it? because que question is so open, you can almost aswer everything from managento to discharge meds and recomendations.....
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| tolito
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1... stress ulcer???? ( would expect some hematemesis as well)
hey study_ing, let me out of my misery
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| tolito
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1. of course,,,,, pseudomembranous colitis.. you are a crafty girl
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| som
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1 cud be mesenteric ischemia too.
2 hmm..i think of vit k def
but yeah, as frank 100 said..depends on how much time post op?
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| study_ing
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u guys are so good on ur own..good tolito and som.. i know it was an open question..but hte point is that all of us easily think of fancy surgical cozes a nd oftn overlook one aspect, ANTIBIOTICS...
hence dont forget pseudomembranous colitis
or antibiotic induced vitamin K deficiency!!
its so much easier to concentrate on dic, av malformations etc...
will try too be more specific though...
had logged off..sorry for the misery !!
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| study_ing
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but hey all of u r right
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| study_ing
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i'll try to compensate ..here's a specific, ez one for u ( though shudnt be in this forum)
Irregularly iregular rythm in pt on digoxin. dont forget?
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| study_ing
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normallly I think
irregular rythm--Atrial fib
here remember this may be an SVT with a variable block.
the above is very characteristic of digoxin toxicity.
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| shumaila
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bloody diarrhea post op pt...............ischemic oclitis
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