Melena clinical msk - GrepMed

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Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
- Blood in vomitus?/black, tarry stools
- If

Acute Hematemesis/Melena ... stools - If Melena ... #Hematemesis #Melena

Black and Bloody Stools - Melena and Hematochezia
Melena - Refers to passage of black, tarry (sticky

Bloody Stools - Melena ... and Hematochezia Melena ... In infants, melena ... #Melena #Hematochezia

Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):

hematemesis and/or melena ... Can present with melena

Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for

bleed Suspected: Melena

Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,

Hematemesis and/or melena

Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
- Patient with knee in extension. Push posterior on

of patella then ask ... Patellar #Grind #clinical ... Patellofemoral #msk

$5th metatarsal distal shaft fracture - Fracture detection on MSK ultrasound The Ultrasound Site - MSK ultrasound$

Fracture detection on MSK ... Ultrasound Site - MSK ... shaft #fracture #MSK ... POCUS #Ultrasound #Clinical

The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
- Start with reason for consult

- Symptoms: Melena

Reduction of Posterior Elbow Dislocation

#Elbow #Dislocation #Reduction #Posterior #clinical #video #msk #sports #orthopedics #physicalexam

Reduction #Posterior #clinical ... #video #msk #sports

How to Use Point-of-Care Ultrasound to Identify Shoulder Dislocation #Clinical #Diagnosis #POCUS #MSK #POCUS #Shoulder #Dislocation

Shoulder Dislocation #Clinical ... Diagnosis #POCUS #MSK

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