Haematemesis Flashcards
1
Q
Haematemesis differentials
A
VINTAGE
Varices
Inflammation: oesophago-gastro-duodenitis/ PUD (DU most common)
Neoplasia: oesophageal/ gastric Ca
Trauma
- Mallory Weiss tear = mucosal tear due to vomiting
- Borhaave’s syndrome = full thickness tear of oesophagus/ oesophageal rupture from vomiting etc. 2cm proximal to LOS
Angiodysplasia + other vascular abnormalities
- Angiodysplasia
- HHT
- Dieulafoy lesion - rupture of large arteriole in stomach or other bowel
Generalised bleeding diathesis
- Warfarin, thrombolytics
- CRF
Epistaxis
