Bleed Identified, Infection Ruled Out: What Next?
Does this patient need IV PPI, pRBCs, or maybe TLC for now?
A previously healthy 45-year-old man presents with melena of several day’s duration. On review of symptoms, he reports fatigue and light-headedness while standing. Results of laboratory studies reveal a hemoglobin level of 8 g/dL. He undergoes upper endoscopy, which demonstrates a 6-mm clean based ulcer in the duodenum without stigmata of bleeding. Tissue biopsies are taken to rule out Helicobacter pylori.
Which of the following steps would you recommend next?
Clinical Tips for Using Antibiotics and Corticosteroids in IBD
January 5th 2013The goals of therapy for patients with inflammatory bowel disorder include inducing and maintaining a steroid-free remission, preventing and treating the complications of the disease, minimizing treatment toxicity, achieving mucosal healing, and enhancing quality of life.
