Anaphylaxis I. Problem/Condition. Anaphylaxis is a severe allergic reaction that is acute and potentially fatal. It is a clinical diagnosis that requires prompt identification and management. As the presentation is variable, three clinical criteria have been established to aid in diagnosis. Any patient meeting one of these would be defined as having anaphylaxis: The acute…
Hematemesis I. Problem/Condition. Hematemesis is upper gastrointestinal (GI) bleeding, typically described as a hemorrhage proximal to the ligament of Treitz. Symptoms consist of coffee ground emesis, vomiting frank blood, melena, and hematochezia. Symptoms of anemia may also be present, including chest pain, weakness, fatigue, syncope, or dyspnea. II. Diagnostic Approach A. What is the differential…
