haem

Question 1

symptomatici anemia

Answer 1

s.o.b
chest pain
syncope - esp standing up
pale
lethargic
pica
koilinhcyia
cold extrmeities !
restless leg syndrome

Question 2

at what level would we usually transfuse

Answer 2

less than 70
and if not then patient is symptomatic +

Question 3

what is Glasgow Blatchford score

Answer 3

it is used in upper gi bleed and if more than zero it means high risk of GI bleed, and some medical intervention is necessary like endoscopy or transfuison its a sense of urgency thats the whole point of the score, how urgent do they need the intervention

Question 4

score for lower gi bleed

Answer 4

oakland

Question 5

a patient comes in with really low levels of hb really low what will you do

Answer 5

1. want to see if he is bleeding from anywhere, any hemoptysis or melaena, hematochezia
2. physical exam PR, any fresh blood coming out? even if patient says they dont see blood in their poo you should never take the word for it
3. ask about cancer symptoms
4. you would think about blood transfusion to replace the blood
5. DO GBS score?
6. do a group and save incase its a surgical issue?