Page of

Low Blood Pressure 

Low Blood Pressure
Chapter:
Low Blood Pressure
Source:
Acute Care Casebook
Author(s):

Scott Lee

DOI:
10.1093/med/9780190865412.003.0048

A brisk upper gastrointestinal bleed is a medical emergency that requires prompt recognition and early initiation of therapy. Patients may present with a variety of signs and symptoms including presyncope, syncope, tachycardia, hypotension, hematochezia, or hematemesis. An important distinction in the differential diagnosis is whether the source is variceal or nonvariceal. The initial goals of management include fluid resuscitation and stabilization. Intravenous proton pump inhibition should be initiated, and octreotide should be considered when liver disease is suspected. Initial investigations include complete blood count, type and screen, coagulation studies, and liver function. Early endoscopy is essential to management.

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