Febbraio 2004 - Volume XXIII - numero 2
Gastroenterologia ed Endoscopia Digestiva, UO di Pediatria, Ospedali Riuniti di Reggio Calabria
Key words: Gastrointestinal bleeding, Diagnosis, Case-management
Among the paediatric emergencies, gastroenterologic conditions have a prominent role. The most frequent are acute abdominal pain, intractable vomiting, foreign body ingestion, caustic ingestion and gastrointestinal bleeding, this last being the one that usually generates the greatest concern. The presenting features can vary: blood loss from the gastrointestinal tract can become manifest as hematemesis, melena, hematochezia and/or occult bleeding. A careful and well focused history taking and physical examination are essential for the initial evaluation, as they provide clues to the etiology and help assessing the severity of bleeding and determining the anatomical location of the bleeding. The Authors describe the appropriate case- management of gastrointestinal bleeding in children by presenting a few clinical cases.
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