Core tip this review provides a practical diagnostic guide for clinicians who encounter patients with suspected gastrointestinal bleeding in the hospital and primary health care settings clinical presentations of gastrointestinal bleeding are classified as overt acute occult chronic or obscure and the corresponding diagnostic algorithms are illustrated through review of the key evidence . A proper history is vital because the information gathered will ultimately guide the direction and extent of the laboratory evaluation and also help in determining how complications can be managed and prevented 3 58 10 a study has shown that a patients perception of his or the approach to a patient with a bleeding disorder needs a . If the patients bp gets too low they will start to shunt blood to their vital organs if patient becomes hypotensive put them in reverse trendelenburg give them fluids and get the physician a patients heart can only beat fast for so long so monitor the heart rhythm while you work on getting the volume back into their cardiovascular . The nurses guide to bleeding disorders is a revision and expansion of the 1995 hemophilia nursing handbook now incorporating von willebrand disease and other bleeding disorders the guide has been prepared under the supervision of the national hemophilia foundations nursing working group. A patient presents to an outpatient clinic with a large growth on the left side of the neck examination reveals primary malignant neoplasm of lymph nodes confirmed diagnosis of nodular lymphocyte predominant hodgkin lymphoma lymph nodes of head face and neck
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