Upper gastrointestinal bleeding physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Patients with chronic upper GI bleeding usually appear fatigue, on contrast depending upon the amount of blood loss, patient appear in distress and shock in acute upper GI bleeding.

Physical Examination

Patients with chronic upper GI bleeding usually appear fatigue, on contrast depending upon the amount of blood loss, patient appear in distress and shock in acute upper GI bleeding. Other physical examination findings include:^[1]^[2]^[3]^[4]^[5]^[6]

Vitals

Abdomen

Skin

Neurological examination

Rectal examination

Occult blood
Gross blood
- Bright red blood per rectum
- Melena
- Burgundy stools
- Blood coating stools versus within stools
- Bloody diarrhea

Extremities

Peripheral edema

References

↑ Palmer, K. (2007). “Acute upper gastrointestinal haemorrhage”. British Medical Bulletin. 83 (1): 307–324. doi:10.1093/bmb/ldm023. ISSN 0007-1420.
↑ van Leerdam, M.E. (2008). “Epidemiology of acute upper gastrointestinal bleeding”. Best Practice & Research Clinical Gastroenterology. 22 (2): 209–224. doi:10.1016/j.bpg.2007.10.011. ISSN 1521-6918.
↑ Feinman M, Haut ER (2014). “Upper gastrointestinal bleeding”. Surg. Clin. North Am. 94 (1): 43–53. doi:10.1016/j.suc.2013.10.004. PMID 24267496.
↑ Srygley FD, Gerardo CJ, Tran T, Fisher DA (2012). “Does this patient have a severe upper gastrointestinal bleed?”. JAMA. 307 (10): 1072–9. doi:10.1001/jama.2012.253. PMID 22416103.
↑ Beck DE, Margolin DA, Whitlow CB, Hammond KL (2007). “Evaluation and management of gastrointestinal bleeding”. Ochsner J. 7 (3): 107–13. PMC 3096402. PMID 21603524.
↑ Owensby S, Taylor K, Wilkins T (2015). “Diagnosis and management of upper gastrointestinal bleeding in children”. J Am Board Fam Med. 28 (1): 134–45. doi:10.3122/jabfm.2015.01.140153. PMID 25567834.
↑ Pezzulo G, Kruger D (2014). “Assessing upper gastrointestinal bleeding in adults”. JAAPA. 27 (9): 19–25. doi:10.1097/01.JAA.0000453234.32378.cb. PMID 25102077.

Template:WikiDoc Sources

[Palmer2007-1] Palmer, K. (2007). “Acute upper gastrointestinal haemorrhage”. British Medical Bulletin. 83 (1): 307–324. doi:10.1093/bmb/ldm023. ISSN 0007-1420.

[van_Leerdam2008-2] van Leerdam, M.E. (2008). “Epidemiology of acute upper gastrointestinal bleeding”. Best Practice & Research Clinical Gastroenterology. 22 (2): 209–224. doi:10.1016/j.bpg.2007.10.011. ISSN 1521-6918.

[pmid24267496-3] Feinman M, Haut ER (2014). “Upper gastrointestinal bleeding”. Surg. Clin. North Am. 94 (1): 43–53. doi:10.1016/j.suc.2013.10.004. PMID 24267496.

[pmid22416103-4] Srygley FD, Gerardo CJ, Tran T, Fisher DA (2012). “Does this patient have a severe upper gastrointestinal bleed?”. JAMA. 307 (10): 1072–9. doi:10.1001/jama.2012.253. PMID 22416103.

[pmid21603524-5] Beck DE, Margolin DA, Whitlow CB, Hammond KL (2007). “Evaluation and management of gastrointestinal bleeding”. Ochsner J. 7 (3): 107–13. PMC 3096402. PMID 21603524.

[pmid25567834-6] Owensby S, Taylor K, Wilkins T (2015). “Diagnosis and management of upper gastrointestinal bleeding in children”. J Am Board Fam Med. 28 (1): 134–45. doi:10.3122/jabfm.2015.01.140153. PMID 25567834.

[pmid25102077-7] Pezzulo G, Kruger D (2014). “Assessing upper gastrointestinal bleeding in adults”. JAAPA. 27 (9): 19–25. doi:10.1097/01.JAA.0000453234.32378.cb. PMID 25102077.

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