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Disease Information for Dieulafoy's Ulcer Lesion
- Clinical Manifestations
- Signs & Symptoms
- Rigors/Shaking chills
- Pulse, thready
- Signs of Poor Perfusion
- Acute anemia symptoms
- Black vomit
- Blood in stool
- Dark/Black Melena Stool
- Hematochezia/Blood per Rectum
- Maroon colored stool
- Peptic ulcer like pain
- Rectal bleeding, gross red
- Vomiting blood/hematemesis
- Collapse/Prostration
- Fever
- Pallor
- Clinical Presentation & Variations
- Presentation/Peptic ulcer Diarrhea
- Presentation/Peptic Ulcer Resistant recurrent
- Disease Progression
- Course/Acute
- Course/Recurrent
- Course/Slow curve fast break/over hours
- Lethal Potential
- Demographics & Risk Factors
- Past History
- Past history/Gastrointestinal hemorrhage
- Past History/GI Bleeding
- Established Disease Population
- Patient/Alcoholism/chronic alcoholic
- Patient/Peptic ulcer disease
- Sex & Age Groups
- Population/Adult/all
- Population/Fifties adult
- Population/Middle-aged adult
- Laboratory Tests
- Abnormal Lab Findings (Non Measured)
- Blood smear/platelets clumped (Lab)
- Dropping hematocrit/hemoglobin (Lab)
- Abnormal Lab Findings - Decreased
- Hematocrit (Lab)
- Hemoglobin (Lab)
- Diagnostic Test Results
- Other Tests & Procedures
- CVP/Venous pressure low
- Gastroscopy/Abnormal
- Gastroscopy/Artery Eroded in Ulcer
- Gastroscopy/Duodenal ulcer crater
- Gastroscopy/Gastric lesion
- Gastroscopy/Gastric ulcer crater
- Isotope Scan
- Isotope/Tagged RBC/Bleeding scan abnormal
- Angiography
- Angios/Mesenteric/Abnormality
- Associated Diseases & Rule outs
- Rule Outs
- Gastric varices
- Leiomyoma stomach
- Associated Disease & Complications
- Anemia
- Blood loss/exsanguination
- Exsanguinating hemorrhage
- Gastrointestinal bleeding
- Hypovolemic shock
- Orthostatic syncope Hypotension
- Recurrent GI Bleeding
- Shock
- Disease Mechanism & Classification
- Class
- CLASS/Intestinal/stomach/gut (category)
- CLASS/Stomach disorder (ex)
- Pathophysiology
- Pathophysiology/Peptic Ulcer Erodes Artery
- Process
- PROCESS/Congenital/developmental (category)
- PROCESS/Reference organ/system (category)
- PROCESS/Structural/anatomic/foreign body (category)
- Synonyms
- Synonym
- Synonym/Aneurysm Gastric Artery/Bleed
- Treatment
- Drug Therapy - Indication
- RX/Blood transfusion/packed cells
- Surgical Procedures or Treatments
- SX/Surgery
- SX/Gastroscopic Cautery Therapy
- Definition
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also peptic ulcer eroding into artery. recurrent upper GI bleed, brisk with shock and much blood loss;before endoscopy was indication for surgery CRM
Classically: Dieulafoy's lesion is an uncommon cause of gastric bleeding thought to cause less than 5% of all gastrointestinal bleeds in adults. It was named after French surgeon Paul Georges Dieulafoy, who described this condition in his paper "Exulceratio simplex: Leçons 1-3" in 1898. It is also called "Caliber-persistent artery" or "Aneurysm" of gastric vessels. However unlike most other aneurysms these are thought to be developmental malformations rather than degenerative changes. [Wikipedia Online 2009]
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- External Links Related to Dieulafoy's Ulcer Lesion
- Wikipedia
- Merck
- Images
- PubMed (National Library of Medicine)
- NGC (National Guideline Clearinghouse)
- Medscape (eMedicine)
- Harrison's Online (accessmedicine)
- NEJM (The New England Journal of Medicine)
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