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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