Patients with GI Bleed – Approach to Patients with GI Symptoms | Lecturio

► LEARN ABOUT:
- Difference between upper and lower Gl Bleed
- Important risk factors
-Differential diagnosis
- Important physical exam findings
- Laboratory studies

► THE PROF:
Dr. Kelley Chuang is a hospitalist at the West Los Angeles VA Medical Center, and assistant clinical professor in the Department of Medicine at UCLA. She obtained her medical degree from the Icahn School of Medicine at Mount Sinai. She then completed residency and a chief residency in Internal Medicine at UCLA. Before her medical training, she was a high school science teacher in Washington, D.C. She loves combining her interests in medicine and teaching as a medical educator.

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[drsuessl]

I made it through my GI bleed. I was being cared for an seen by my doctor every 3 month. I had no idea this would happen. After a beautiful spring day and a power walk I was hungry. I warmed dinner up. All of a sudden I felt a heat wave. It was strange cuz I hadn’t had a panic attack for a long time. I laid down then felt sick. I turned the light on and saw a ton of blood. I unlocked the door to outside. I felt dizzy, like I couldn’t get air. I laid down on the floor and called 911. Nothing like this happened before. The EMTs came fast and brought me to Massachusetts General Hospital. It was nuts in there. I had to wait in the hall, but that was ok cuz I was closer to the nursing station.
I threw up more and was brought into a room. Eventually it looked like a Christmas tree with everything hanging. A central line was put in. All kinds of IVs and blood products.
All together 10 bags of blood and 2 bags of platelets. I don’t know how much my body normally has. They tried the banding and it was unsuccessful, then TIPPS.
It felt like I had been run over by a train, but I wasn’t banged up.
I liked the staff GI doc. Everyone else was hurrying around. He had a talk with me and finally explained what happened.
It turned out that after 20 years of ARVs, my liver was pretty sick. I wasn’t a drug or alcohol user, so I was pretty surprised.
Follow up included watching my TIPPS. It was discovered that I had liver cancer and then again. Oh… IR rocks. Over 7 years ago I had my liver transplant. Other than the portal vein clot, it’s been a smooth transition.
I’m so grateful for each person who studied so hard to save my life.

[alyperwamatwara]

Thank you very much for your lesson. Very helpful!

[janicepowell]

Having black stools for 3 weeks. Went to ER. Did exam and found no blood in stool. Sent me home. Did no testing, no bloodwork. Said it would go away on its own. 3 days later, still going on. I don’t understand why. Can’t someone explain why i have black stools. And should not worry about it? Thanks

[esrayomok]

Thank you so much! that was really helpful🤍😊

[schistoim]

this should have been uploaded when i was having my residency.😁

[JAB-YT]

when my tummy is full my rightside so hurt, sometimes also when sleep and sometimes i have black poop 😢

[pritikasharma]

What is the patient takes aspirin and is bleeding.