Condition Info - BotMed Application

ConditionName

Esophageal varices

ConditionDescription

Symptoms

Vomiting with blood;
Light headiness;

PhysicalFindings

Caput medusa;
Palmar erythema;
Asterixis;
Low BP;

ClinicalTests

Bleeding:  urgent upper endoscopy to control bleed by banding;

Check Hct;
Platelet count;
Coagulation tests (PT or INR);

RiskFactors

Hepatitis C;
Cirrhosis;
Ascites(50%);

IsRedFlag

IsNPLEX

Consequence

Splenomegaly;
Anemia;
MI b/c of anemia;
High risk of death;
Pulmonary complications;

ProgressionFromCondition

TreatmentOptions

Replace fluid 1-2 litres/h of normal sealing
Surgery – last resort 
Treat underline cause!

PharmOptions

IV PPI

WebLink

https://www.merckmanuals.com/en-ca/professional/gastrointestinal-disorders/gastrointestinal-bleeding/varices