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Case report
peer-reviewed

Point of Care Ultrasound Diagnosis of Upper Gastrointestinal Bleeding



Abstract

A 28-year-old male was brought to the emergency department by the Emergency medical services (EMS) after being found unconscious and unresponsive. Upon arrival, he was hypotensive, intubated with a Glasgow Coma Scale (GCS) 3T, without the signs of trauma or the evidence of bleeding. A focused assessment with sonography in trauma (FAST), point-of-care ultrasound (POCUS) was performed, obscuring part of the spleen from the distended stomach, which was filled with the heterogeneous contents, with the internal movement being identified. This was found to be blood after orogastric (OG) tube was placed for suction. The bedside endoscopy confirmed active variceal bleeding. This case illustrates the potential utility of the ultrasound in detecting the upper gastrointestinal bleeding.



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Case report
peer-reviewed

Point of Care Ultrasound Diagnosis of Upper Gastrointestinal Bleeding


Author Information

Robert P. Jamplis

College of Medicine, University of Arizona College of Medicine-Tucson

Lucas Friedman Corresponding Author

Department of Emergency Medicine at Riverside Community Hospital, University of California, Riverside

Srikar Adhikari

Department of Emergency Medicine, University of Arizona


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Point of Care Ultrasound Diagnosis of Upper Gastrointestinal Bleeding


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Case report
peer-reviewed

Point of Care Ultrasound Diagnosis of Upper Gastrointestinal Bleeding

  • Author Information
    Robert P. Jamplis

    College of Medicine, University of Arizona College of Medicine-Tucson

    Lucas Friedman Corresponding Author

    Department of Emergency Medicine at Riverside Community Hospital, University of California, Riverside

    Srikar Adhikari

    Department of Emergency Medicine, University of Arizona


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: December 17, 2017

    DOI

    10.7759/cureus.1956

    Cite this article as:

    Jamplis R P, Friedman L, Adhikari S (December 17, 2017) Point of Care Ultrasound Diagnosis of Upper Gastrointestinal Bleeding. Cureus 9(12): e1956. doi:10.7759/cureus.1956

    Publication history

    Received by Cureus: October 26, 2017
    Peer review began: November 03, 2017
    Peer review concluded: December 10, 2017
    Published: December 17, 2017

    Copyright

    © Copyright 2017
    Jamplis et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

A 28-year-old male was brought to the emergency department by the Emergency medical services (EMS) after being found unconscious and unresponsive. Upon arrival, he was hypotensive, intubated with a Glasgow Coma Scale (GCS) 3T, without the signs of trauma or the evidence of bleeding. A focused assessment with sonography in trauma (FAST), point-of-care ultrasound (POCUS) was performed, obscuring part of the spleen from the distended stomach, which was filled with the heterogeneous contents, with the internal movement being identified. This was found to be blood after orogastric (OG) tube was placed for suction. The bedside endoscopy confirmed active variceal bleeding. This case illustrates the potential utility of the ultrasound in detecting the upper gastrointestinal bleeding.



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Create a free account to continue reading this article.

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Robert P. Jamplis

College of Medicine, University of Arizona College of Medicine-Tucson

Lucas Friedman

Department of Emergency Medicine at Riverside Community Hospital, University of California, Riverside

For correspondence:
lucasfriedman@cep.com

Srikar Adhikari

Department of Emergency Medicine, University of Arizona

Robert P. Jamplis

College of Medicine, University of Arizona College of Medicine-Tucson

Lucas Friedman

Department of Emergency Medicine at Riverside Community Hospital, University of California, Riverside

For correspondence:
lucasfriedman@cep.com

Srikar Adhikari

Department of Emergency Medicine, University of Arizona