Uphill or downhill bleeding?
| Autor: | James E. East, Brian Lei, Jonathan Marshall, Noor L Bekkali, Zillah Cargill, Tamsin Cargill |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Tachycardia medicine.medical_specialty Neck mass Esophageal and Gastric Varices Diagnosis Differential 03 medical and health sciences 0302 clinical medicine medicine Humans Medical history Pelvis Aged 80 and over medicine.diagnostic_test Goiter business.industry oesophageal varices digestive oral and skin physiology Gastroenterology 3. Good health Endoscopy 030104 developmental biology medicine.anatomical_structure Diverticular disease Female 030211 gastroenterology & hepatology Radiology Editor’s quiz: GI snapshot Abnormality medicine.symptom Gastritis Tomography X-Ray Computed business |
| Zdroj: | Gut |
| ISSN: | 1468-3288 0017-5749 |
| DOI: | 10.1136/gutjnl-2020-322298 |
| Popis: | An 87-year-old woman presented with a 2-day history of melaena and symptomatic anaemia. Medical history included idiopathic hyperthyroidism, a gastric ulcer and diverticular disease. On arrival, vital signs were stable apart from a tachycardia (107 bpm). Her initial haemoglobin was 48 g/L and urea 32.7 mmol/L. A large anterior neck mass was observed on examination. At endoscopy, this abnormality was identified in the upper oesophagus (figure 1). Minimal gastritis and a normal duodenum were also observed. Subsequently cross-sectional imaging of the chest abdomen and pelvis was undertaken to investigate the neck mass (figure 2). Figure 1 Endoscopic view of upper third of oesophagus. Figure 2 Axial CT image at the level of T3. What is the abnormality in the upper oesophagus and how should it be managed? What is the significance of the right sided neck mass? The … |
| Databáze: | OpenAIRE |
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