A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of...

A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of passing foul smelling dark, tarry stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed.

Solutions

Expert Solution

Gastrointestinal bleeding is also known as gastrointestinal hemorrhage and it can originate from pharynx to the rectum and can be occult or overt . Gastrointestinal bleeding is as symptom of a disorder of digestive tract. The level of bleeding can range from mild to severe and can be life threatening. Many possible causes of GI bleeding are hemorrhoids,peptic ulcers,tears,or infalmmation in the esophagus,diverticulosis,diverticulitis,Crohns disease,cancer in the colon,stomach or esophagus. Upper gastrointestinal bleeding is gastrointestinal bleeding in the upper gastrointestinal tract commonly defined as been arising from esophagus,stomach or duodenum.The other names of Upper GI bleeding are Upper gastrointestinal hemorrhage,gastrorrhagia,UGI bleed. The factors can contribute to upper gastrointestinal bleeding are Peptic ulcers,gastric erosions,esophageal varices and rarer caused such as gastric cancer. The bacteria Helicobacter pylori and the use of NSAID can cause petic ucer and the peptic ulcer can away the mucose which cause GI bleeding.

Gastrointestinal bleeding is considered as medical emergency . Fluid replacement as well as blood transfusion required.Endoscopy is recommended within 24 hours and bleeding can be stopped by various technique. Recurrent or refractory bleeding may lead to need for surgery ,although this has become uncommon as a result of improved endoscopic and medical treatment.There are many other factors which causes upper gastrointestinal bleeding are in which people are usually stratified in to having either variceal or non variceal sources of upper gastrointestinal hemorrhage.There are three cause : first is Esophageal causes are esophageal varices,esophagitis,esophageal cancer,esophageal ulcers in which stomach acid can damage esophagus and cause sores and bleeding. The second one is gastric causes including gastric ulcer,gastric cancer,gastritis,gastric varices ,gastric antral vascular ectasia if untreated gastritis can lead to ulcers or worn away areas of the stomach lining that can bleed in the GI tract. The third one is duodenal causes which include duodenal ulcers,vascular malformation,hematobilia,severe superior mesentric artery syndrome.

Symptoms of GI bleeding are black or tarry stool ,brighten red in vomiting ,feling tired,shortness of breathe,cramps in the abdomen,dizziness or faintness.

Nightingale answered 11 months ago

Next > < Previous

Related Solutions

John, a 22 year old construction worker, presented to his primary care doctor with a swollen...

John, a 22 year old construction worker, presented to his primary care doctor with a swollen red spot on his upper back. John is overweight and has high blood pressure, for which he takes a diuretic daily. He works outdoors and since it is summer he gets hot and sweaty and will often change his shirt during the day at work. He states over the last few days he has had a sore spot on his back that has gotten...

A 67-year-old man presents to the HCP with chief complaint of tremors in his arms. He...

A 67-year-old man presents to the HCP with chief complaint of tremors in his arms. He also has noticed some tremors in his leg as well. The patient is accompanied by his son, who says that his father has become “stiff” and it takes him much longer to perform simple tasks. The son also relates that his father needs help rising from his chair. Physical assessment demonstrates tremors in the hands at rest and fingers exhibit “pill rolling” movement. The...

1. A 67-year-old male presents to the clinic along with his family with a chief complaint...

1. A 67-year-old male presents to the clinic along with his family with a chief complaint of having problems with his short-term memory. His family had dismissed these problems and attributed them to the aging process. Over time they have noticed changes in his behavior, along with increased confusion and difficulty completing basic tasks. He got lost driving home from the bowling alley and had to be brought home by the police department. He is worried that he may have...

A 67-year-old man presents to the HCP with chief complaint of tremors in his arms. He...

Mr. DeVito is a 48 old male who presents to his Primary Care Provider with left...

Mr. DeVito is a 48 old male who presents to his Primary Care Provider with left upper abdominal pain and complain of weakness and fatigue. The nurse immediately notes how pale his skin. A full set of vitals reveals the following: HR 82bpm, BP 142/90 mmhg, RR 16bpm, Spo2 94 on room air, Temp 101.0 F What further Nursing Assessment would you perform at this time? Upon further assessment, the nurse notes a palpable mass in the left upper quadrant,...

A 32-year-old Asian American construction worker visits his primary care physician with a 2-inch cut on...

A 32-year-old Asian American construction worker visits his primary care physician with a 2-inch cut on the anterior aspect of his right hand. He lacerated his hand while fixing a barbed-wire fence 5 days ago. He told his wife that he did not have time to go to his primary care provider for such a small cut. The primary care provider noted the wound bed to be erythemic, swollen, and with a small amount of purulent greenish drainage on the...

Jenna Ward is a 19-year-old female who presents to the clinic with a chief complaint of...

Jenna Ward is a 19-year-old female who presents to the clinic with a chief complaint of 2-day history of burning with urination and vaginal discharge. The discharge is foul smelling. She has tried OTC vaginal treatment without improvement. She has been sexually active with several partners. She is G1, P0, A1. She takes oral contraceptives and menses are regular. She denies any cramping, abdominal pain, or unusual vaginal bleeding. No fever or chills. No routine medications. NKDA. Past Medical History:...

A 48-year-old woman presents with a chief complaint of knee pain, with aching and stiffness on...

A 48-year-old woman presents with a chief complaint of knee pain, with aching and stiffness on arising but easing up during the day. She does not engage in any type of exercise or activity. She is a grava 4, para 4 with a 10-year history of hypertension and a diagnosis of diabetes in the past 2 years. She calls it “sugar” and states that this condition is controlled with diet. She recently began working at a local Wal-Mart and has...

A 45-year-old male presents with a chief complaint of pain in the abdominal area. The patient...

A 45-year-old male presents with a chief complaint of pain in the abdominal area. The patient had pain with palpation of the abdomen and standard x-rays were negative. What other types of radiographic, diagnostic studies can be performed? What are the advantages of these studies over standard x-rays and is one study best?

A 35-year-old single white female and mother of two presents with the chief complaint of worrying....

A 35-year-old single white female and mother of two presents with the chief complaint of worrying. She is a full-time salaried manager at a thriving and growing IT Company. She complains of persistent, constant, and uncontrollable worrying and indicates no matter what she does she is unable to sit still and relax. She is becoming irritable, feels nervous, and is consumed with the awful fear that she will lose her job, vehicle, home, and be unable to provide for you...

Subjects