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MCQS 158-160 :50 year old known alcoholic with known hepatic ...

Balloon tamponade with a Sengstaken-Blakemore tube can be useful in treating uncontrolled hemorrhage. Portal-systemic shunting provides effective therapy when endoscopic and pharmacologic intervention are unsuccessful. ...

Medical Videos - Sengstaken Blakemore tube Insertion Video ...

Sengstaken Blakemore tube Insertion Video General Procedures.

Gastrointestinal Diseases NCLEX Review Questions Part 1 | NCLEX ...

A nurse is preparing to care for a female client with esophageal varices who has just has a Sengstaken-Blakemore tube inserted. The nurse gathers supplies, knowing that which of the following items must be kept at the bedside at all ...

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September 21, 2009 · Posted in Uncategorized · Comments Off 

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euro-ion in dextrose 5% water, mss,

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Portal Hypertension & Esophageal Varices

July 8, 2009 · Posted in ABDOMINAL SURGERY · Comment 

42 PORTAL HYPERTENSION AND ESOPHAGEAL VARICES
Ramin Jamshidi B.S., B.S., Gregory V. Stiegmann M.D.

1. Describe the blood supply to the liver.

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Total hepatic blood flow is roughly 1500 mL/min, or 25% of cardiac output. The hepatic artery normally supplies about 30% of blood flow, and the portal vein contributes 70%. The hepatic artery and portal vein each supply 50% of the liver’s oxygen, however. With portal hypertension, portal flow decreases and the relative contribution of the hepatic artery necessarily increases.
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UPPER GASTROINTESTINAL BLEEDING

July 8, 2009 · Posted in ABDOMINAL SURGERY · Comment 

51 UPPER GASTROINTESTINAL BLEEDING
G. Edward Kimm Jr. M.D., Allen T. Belshaw M.D.

1. What is upper gastrointestinal (GI) bleeding?

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Bleeding from proximal to the ligament of Treitz (the transition point between duodenum and jejunum).

2. What are the most common causes of upper GI bleeding?

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In descending order of frequency, they are gastritis, duodenal ulcer, esophageal varices, benign gastric ulcer, esophagitis, and Mallory-Weiss tear. All other causes account for < 5% of cases.
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can a upper gi miss a duodenal ulcer, esophageal gastroduodenotomy with esophageal banding,

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