Blood Vomiting or Haematemesis

Vomiting of Blood (Hematemesis): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Differential blood count Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT), alkaline phosphatase, bilirubin. Coagulation parameters – PTT, Quick Laboratory parameters 2nd order – depending on the results of the history, … Vomiting of Blood (Hematemesis): Test and Diagnosis

Vomiting of Blood (Hematemesis): Diagnostic Tests

Obligatory medical device diagnostics. Abdominal ultrasonography (ultrasound examination of the abdominal organs) – for basic diagnostics. Esophago-gastro-duodenoscopy (OGD; endoscopy of esophagus, stomach, and duodenum) with biopsies (sampling) from all suspicious lesions; in Barrett’s esophagus, additional 4-quadrant biopsies [gold standard]. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics … Vomiting of Blood (Hematemesis): Diagnostic Tests

Vomiting of Blood (Hematemesis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate hematemesis (vomiting blood): Leading symptoms Vomiting of coffee-ground-like or red blood. The coffee grounds-like appearance comes from prolonged retention of the blood in the stomach Note A patient with hematemesis is considered a medical emergency, i.e. immediate hospitalization required! Warning signs (red flags) Enlarged supraclavicular lymph nodes → … Vomiting of Blood (Hematemesis): Symptoms, Complaints, Signs

Vomiting of Blood (Hematemesis): Medical History

Medical history (history of illness) represents an important component in the diagnosis of hematemesis (vomiting of blood). Family history What is the general health of your family members? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Are you exposed … Vomiting of Blood (Hematemesis): Medical History

Vomiting of Blood (Hematemesis): Or something else? Differential Diagnosis

Blood, blood-forming organs-immune system (D50-D90). Aplastic anemia – form of anemia (anemia) characterized by pancytopnia (reduction of all cell series in the blood) and concomitant hypoplasia (functional impairment) of the bone marrow. Hemophilia (hemophilia) Thrombocytopenia – deficiency of platelets (blood platelets). Endocrine, nutritional and metabolic diseases (E00-E90). Scurvy (vitamin C deficiency) Cardiovascular system (I00-I99) Aorto-intestinal … Vomiting of Blood (Hematemesis): Or something else? Differential Diagnosis

Vomiting of Blood (Hematemesis): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye) [accompanying symptom: pallor (anemia)]. Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel … Vomiting of Blood (Hematemesis): Examination