Haematemesis Inspection, palpation, DRE Flashcards
Haematemesis tattoos, track marks, piercings?
Viral Hep
Haematemesis signs of liver disease (10)?
Jaundice, scratch marks, bruising, spider naevi, palmar erythema, dupuytrens contracture, gynaecomastia, ascites, ankle oedema, caput medusa.
Haematemesis purpura?
Suspect thrombocytopenia.
Haematemesis thoraco-abdominal scar?
AAA repair with graft.
Haematemesis Cachexia
suspect malignancy
Haematemesis hepatomegaly?
liver diseases, cirrhotic livers are often shrunken
Haematemesis splenomegaly?
Portal hypertension.
Haematemesis epigastric tenderness?
peptic ulcer disease or gastritis/duodenitis
Haematemesis Epigastric Mass/Virchow’s Lymphadenopathy?
malignancy
Haematemesis DRE haemorrhoids?
Suspecy portal hypertension
Haematemesis malaena or haematochezia
confirms GI bleed.