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8 Posts

epica

04/06/07 - 09:51 PM

A 70 year old man was admitted with pallor, light-headedness and loss of energy. On the day prior to admission he had reported loose dark stools. Examination revealed a pulse of 90 per minute and a blood pressure of 110/70 mmHg.

Investigations revealed:
Haemoglobin 7.2 g/dL (14-18)
MCV 72 fL. (78-96)
White cell count 11.3 x 109/L (4-11)
Platelet count 480 x 109/L (150-400)

What is the most appropriate next step in his management?

1) Barium meal

2) Blood transfusion

3) Endoscopy

4) Parenteral iron infusion

5) Proton pump inhibitor therapy

Dr.D
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04/07/07 - 06:17 PM

I wiil go for 2, But there is no clear picture. But his platelet count is 52320.

mdwannabe
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04/08/07 - 11:41 AM

Gotta go to EGDS. No point of transfusion. He is not in distress, no SOB, no hTN, HR acceptable.

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Dr.D
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04/09/07 - 07:29 PM

egomez2001
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04/11/07 - 03:46 PM

Dr.D
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04/11/07 - 08:11 PM

It is most probably a upper GI bleed, What is the exact answer Epica?

CocaCola
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04/21/07 - 11:42 AM

Endoscopy - find the source of bleeding

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PGI2alpha
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04/28/07 - 09:52 AM

i will go fr endoscopy...70 yr old...thinking Ca colon first...

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