Common abdominal histories - Haematemesis Flashcards
1
Q
What would you want to ask about haematemesis?
A
- Duration, progression, timing
- How much
- How often
- Consistency
- Colour
- Contents
2
Q
What would you want to ask about on systemic enquiry in someone with haematemesis?
A
- WEight loss
- Appetite
- N+V
- Abdo pain
- Dysphagia
- Dyspepsia
- Bowel habit change
- Malaena/blood
3
Q
What features assocaited with haematemesis would suggest oesophageal varices as a cause?
A
- History of liver disease/alcoholism
- May have encephalopathy or alcohol withdrawal
4
Q
What features assocaited with haematemesis would indicate mallory weiss tear as a cause?
A
- Multiple vomits before haematemesis
- Commonly after binge drinking
5
Q
What features associated with haematemesis would suggest gastritis/oesophagitis/peptic ulcer haemorrhage as a cause?
A
- Previous gastritis symtpoms
- Risk factors - NSAIDs, alcohol, spicy foods
