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vomiting, diarrhoea, Hx epigastric pain
O/E pale & sweaty,…
vomiting, diarrhoea, Hx epigastric pain
O/E pale & sweaty, shock/tachycardia/tachypnoea
epigastric tenderness, PR exam melena
PDx & DDx
PDx: haemorrhagic shock secondary to perforated peptic ulcer
- Haemodynamic instability (hypotension, tachycardia)
- Epigastric tenderness & melena (upper GI bleed proximal to ligament of Treitz)
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Anatomy
Blood Supply Stomach
Simplified
- Left & right gastric aa.
- Left & right gastroepiploic aa.
- Short gastric aa.
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Stomach
- foregut derivative
- Supplied by coeliac trunk bb.
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Fundus
- Short gastric a.
- Splenic a. → posterior gastric branches
Duodenum Relations
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Relations
- Anterior
- Posterior
- Inside
- Outside