Clinical Case Database / Category: Clinical Care
Management of upper GI haemorrhage-variceal bleeding
Dr Edward J. Despott, Dr Rajiv Jalan
Foundation Years Journal, volume 1, issue 3, p.111 (123Doc Education, London, June 2007)
A 47-year-old property manager presents to A&E with a 6-hour history of large volume fresh haematemesis associated with a feeling of light-headedness. He gives a history of significant alcohol consumption of 60 units per week for the last 15 years. There is no other past medical history of note. The patient is on no regular medication and has no known allergies. Clinical examination reveals a tachycardia of 120 bpm and a blood pressure of 90/60mmHg (with a postural drop of 25mmHg). The patient is pale and jaundiced and has numerous stigmata of chronic liver disease including numerous spider naevi and Dupuytrenâ€™s contractures bilaterally. There is abdominal distension with flank dullness, in keeping with ascites and rectal examination confirms the presence of melaena.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
|Foundation Years Clinical Cases Database||£29.00||6 months|
|Foundation Years Clinical Cases Database||£39.00||12 months|
Dr Edward J. Despott
Specialist Registrar Gastroenterology/Hepatology
Dr Rajiv Jalan
Senior Lecturer and Consultant Hepatologist
4. Jalan R, John TG, Redhead DN, Finlayson NDC, Garden OJ, Hayes PC. A comparative study of the transjugular intrahepatic portosystemic stent-shunt (TIPSS) and oesophageal transection in uncontrolled variceal haemorrhage. Am J Gastroenterol 1995;11 :1932â6.
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.