Abstract
An 80 year old man presented to the Accident and Emergency Department complaining of “black stools”, increasing shortness of breath, chest tightness and epigastric pain. An upper gastro-intestinal bleed was diagnosed and the patient was managed conservatively with aggressive resuscitation and close monitoring. An oesophogastroduodenoscopy found no cause for the bleeding which ceased and the patient was discharged with a general practitioner follow-up.
Highlights
Acute upper gastrointestinal haemorrhage (AUGH) is a common medical emergency with a significant associated mortality [1] despite ongoing advances in its management [2].Following decades of research, the introduction of risk stratification and prognostic scoring in the Rockall Score has allowed for the early division of this pool of patients into low or high risk of re-bleeding or death
An 80 year old man presented to the Accident and Emergency Department complaining of “black stools”, increasing shortness of breath, chest tightness and epigastric pain
An oesophogastroduodenoscopy found no cause for the bleeding which ceased and the patient was discharged with a general practitioner follow-up
Summary
Acute upper gastrointestinal haemorrhage (AUGH) is a common medical emergency with a significant associated mortality [1] despite ongoing advances in its management [2].Following decades of research, the introduction of risk stratification and prognostic scoring in the Rockall Score has allowed for the early division of this pool of patients into low or high risk of re-bleeding or death. Abstract An 80 year old man presented to the Accident and Emergency Department complaining of “black stools”, increasing shortness of breath, chest tightness and epigastric pain. An upper gastro-intestinal bleed was diagnosed and the patient was managed conservatively with aggressive resuscitation and close monitoring. An oesophogastroduodenoscopy found no cause for the bleeding which ceased and the patient was discharged with a general practitioner follow-up.
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