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Presenting problems in gastrointestinal
Dr.Khalid Maseer
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Dysphagia : difficulty in swallowing.
• Differential diagnoses:
1.Globus sensation ( anxious patient feels a lump in throat without organic cause).
2.Odynophagia : pain during swallowing; gastroesophageal reflux and candidiasis.
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Dyspepsia: (Indigestion)
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Carful history
• A-Elicit symptoms classical of specific diseases like hunger pain in peptic ulcer disease.
• B-Detect alarm features urgent investigations: weight loss,anaemia,vomiting ,haematemesis or melena,dysphagia and abdominal mass
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vomiting
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Major causes of vomiting
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Gastrointestinal bleeding
Acute upper gastrointestinal bleeding
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Clinical assesment
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Management
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Risk factors for death in acute upper GI bleeding
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Lower gastrointestinal bleeding
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