Medical Case Details:
Male 48 year ,complain dizziness, weakness, nausea,vomitting with foamy bleeding ,headache, vision problem . There is alcohol smell from mouth ,patient is in confusion.what is primary diagnosis and first aid emergency treatment?
Discussions
Dr. Hridyesh Mehra
General Practitioner
1. Acute alcoholic intoxication (peptic ulcer) vs CLD induced variceal bleed
2. Confusion attributes to HE
Treatment based on ABG to know Hb and acidosis with RT insertion for aspiration
Urine for toxicology for any other drugs ingestion
Always check pupils and rule out for any central cause of head by CT, if needed
Start management by I/V fluids and tranexamic acid with terlipressin or octreotide if suspecting CLD
Start PPI infusion, Vitamin K, and broad spectrum antibiotics
General Practitioner
1. Acute alcoholic intoxication (peptic ulcer) vs CLD induced variceal bleed
2. Confusion attributes to HE
Treatment based on ABG to know Hb and acidosis with RT insertion for aspiration
Urine for toxicology for any other drugs ingestion
Always check pupils and rule out for any central cause of head by CT, if needed
Start management by I/V fluids and tranexamic acid with terlipressin or octreotide if suspecting CLD
Start PPI infusion, Vitamin K, and broad spectrum antibiotics
▲ 1
20.Sep, 01:20am
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