We encounter patients with upper GI bleeding frequently. While some of these are obviously ill and in need of urgent intervention and/or admission, others appear well and we might consider sending them home - but how do we decide who is low risk enough to discharge? Is there an evidence based approach to risk stratify patients with upper GI bleeds?
Von Willebrand Disease is the most common of the inherited bleeding disorders. Do you remember that there is more than one "type" of Von Willebrand Disease? Remember which type you should NOT use DDVAVP on? Read on for a quick overview.
An elderly female patient presents with abdominal pain and distention with no bowel movement in 1 week. Labwork shows a Cr of 8 from baseline of 1 with a normal lactate. Click for further information about her diagnosis.