neo335 Forum Elite
Topics: 39 Posts: 174
| | 04/06/07 - 07:38 PM  
 
|   #2 |
i wud chose endoscopy... old man with a bleeding somewhere in the GIT/ anemia.. do a endscopy 1st to r/o colon Ca.. however i wud want to rehydrate him before i do the procedure ..but there is no option like that.. blood transfusion, i am not sure we want to transfuse him with blood.... usmle doesnt like blood transfuion too much can anyone tell me what wudb the cut off limit of Hb for giving a blood transfusion? thnx
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| dr.wad Forum Senior

Topics: 3 Posts: 350
| | 04/06/07 - 07:50 PM  
 
|   #3 |
blood transfusion ....then endoscopy. as i remember in iron def anemia if Hg is < 8 g/dl >>>> do blood transfusion.
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| Justice Just signed contract

Topics: 118 Posts: 2,369
| | 04/06/07 - 08:40 PM  
 
|   #4 |
Start with [2) Blood transfusion], continue with [3) Endoscopy]
___________________ The winner takes it all...
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| damngood Forum Newbie
Topics: 0 Posts: 79
| | 04/06/07 - 09:44 PM  
 
|   #5 |
next best step soo endoscopy he is not in failure soo bloood transfusion can wait
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| epica
| | 04/06/07 - 09:48 PM  
 
|   #6 |
I think so. Blood transfus. only for severe hemorr, his blood pressure is normal 110/70 Sorry, I don't have the ans.
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| mdwannabe Forum Guru
Topics: 37 Posts: 1,133
| | 04/07/07 - 03:18 AM  
 
|   #7 |
IV and to Endoscopy... and beyond...he is not hemodinamicaly unstable. Transfusion can wait. If you give blood he ooze it out. You need to fix the problem in intestine. Besides, the blood will take several hours to crossmatch. Endoscopy first!
___________________ "Life not lived for others, is not worth living" Uncle Einstein "A life is not important, except in the impact it has on other lives" -Jackie Robinson
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| Adam Forum Senior

Topics: 6 Posts: 136
| | 04/07/07 - 05:08 AM  
 
|   #8 |
He has dark stool >> It's probably an upper GI bleeding,.. The next step is Endoscopy
___________________ I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..
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