Disease Information for Dieulafoy's Ulcer Lesion

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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

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
Google
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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