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internal medicine knowledge: The white nipple sign# (its importance in variceal...

August 18, 2017

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internal medicine knowledge: The white nipple sign# (its importance in variceal...

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60 -year -old female patient presented with upper GI bleeding 2 months ago. Upper GI endoscopy revealed GII esophageal varices that were ligated at 2 sessions of endoscopy. also, there were small gastric varices in the first endoscopy, but in the third session of upper GI endoscopy, gastric varix became prominent so it was injected with 5 amp amacryl plus lipiodol.

what is the cause of bleeding? And how to proceed?

A 67-year-old woman on regular follow-up endoscopy for esophageal varices was admitted to the hospital with upper GI bleeding. the scope revealed multiple #gastric polyps. the patient was referred for band ligation of the polyps as a cause of the bleeding. NOTES: 1- there is bleeding from the fundus of the stomach and not from the polyps 2- you can observe many tags at the fundus( site of previously injected fundal varices) you can see there is a groove from previously injected fundal varix how to proceed and why?

دردشة طبية# تحليل #فيدال لتشخيص #حمى-التيفود اطباء معامل تحاليل

دردشة طبية# تحليل #فيدال لتشخيص #حمى-التيفود اطباء معامل تحاليل https://www.tiktok.com/@salemyoussef02/video/7348786677080509702 widal test is inaccurate for the diagnosis of typhoid fever https://vm.tiktok.com/ZMMAMbErA/