THE APPROACH TO THE PATIENT WITH GASTROINTESTINAL HEMORRHAGE



Steps in the approach to the patient who pre­sents with GI bleeding are considered in this sec­tion in order of priority, i.e., (1) initial assessment, (2) resuscitation, (3) diagnosis, and (4) treatment. The management of’GI bleeding must be indivi­dualized according to the nature and extent of bleeding. Thus in cases of massive, continuous bleeding, for example, more urgent diagnostic and therapeutic intervention may be called for, as transfusions may fail to keep pace with the rapid rate of blood loss.







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