Risk Score for Need to Treat Upper Gastrointestinal Hemorrhage

Are you evaluating a patient with acute upper gastrointestinal hemorrhage?

Yes

Gender of the patient

Male

Female

Does the patient have hepatic disease?

Yes

Is the patient in cardiac failure?

Yes

Did the patient present with syncope?

Yes

Did the patient present with melena?

Yes

Pulse

beats per minute

Systolic blood pressure

mm Hg

Hemoglobin

Blood urea

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Risk score

Approximate percentage of patients with score needing intervention

Abbreviated 'fast track' risk score

Is the patient at low risk for needing clinical intervention based on the abbreviated score?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Cedars-Sinai Medical Center Predictive Index for Upper GI Hemorrhage
Criteria For Diagnosis
- EVendo Score to Screen for High Risk Esophageal Varices
Severity, Prognosis, Stage
Complications
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality

Therapy

Selection
- Decision Rule of Corley et al for Adverse Outcome in Patients with Upper Gastrointestinal Hemorrhage Using Data Available at Initial Presentation
- Models of Siringo et al for Predicting the Time to the First Variceal Hemorrhage in a Patient with Cirrhosis

Monitoring

Disease Progression
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality
Complication Detection
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality
Comorbid Conditions
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Risk Score for Predicting Need to Treat Upper Gastrointestinal Hemorrhage

Purpose: To use the risk score of Blatchford et al to evaluate a patient with acute upper gastrointestinal hemorrhage.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10