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EM Clerkship

GI Bleed

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 16 July 2017

⏱️ 10 minutes

🧾️ Download transcript

Summary

Basic Categories Upper GI Bleed Symptoms Coffee ground emesis Melena Black tarry stool Digested blood Common causes Peptic ulcer disease Varices Lower GI Bleed Symptoms Bright red blood per rectum (BRBPR) Maroon/bloody stools Common causes Diverticulosis Colon cancer Angiodysplasia AV Malformations History Ask about risk factors for upper GI bleed Peptic ulcer risk factors NSAIDS […]

Transcript

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0:00.0

Hello, med students.

0:03.0

My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.

0:12.9

Core content this week.

0:15.6

Here's your case.

0:25.1

We're going to hear. case. Okay, everybody, we called in.

0:27.1

I don't know if you guys had a chance.

0:28.6

We were just right around the corner.

0:30.2

This is Johan, 84 years old.

0:32.5

He's coming from a nursing home.

0:34.4

Staff notified us.

0:36.4

They noticed Tari Stools sometime yesterday morning and then they

0:40.7

decided to call us today at shift change so BP 100 over 60 pulse of 100 respiration is 20 just

0:48.5

have a history of dementia hypertension pneumonia a week ago the family's not in state and he's not really been talking to us.

0:57.0

So, yeah, bag of meds, you know, that's the story.

1:02.0

Anybody have any questions?

1:04.0

Yes, we did get a glucose.

1:06.0

Glucose is 110.

1:08.0

Anybody else?

1:10.0

All right, guys. Thank you. This is 110. Anybody else?

1:11.7

All right, guys.

1:12.6

Thank you.

1:20.3

Molina, dark Tari Stools.

...

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