Friday, January 29, 2021

Surg & Med MCQs

 A 28-year-old female presents with 2 episodes retching and vomiting of bright red blood over the past 12 hours. She undergoes immediate endoscopy and following is noted (see image). The CXR is clear and her abdominal exam is otherwise unremarkable. Which of the following blood work is recommended in the patient?


a. Prothrombin time
b. Urine HCG
c. White cell count
d. Platelet count
e. Renal function
f. Partial prothrombin time
g. INR

1. Any adolescent female who presents with a diagnosis of Mallory Weiss tear, should have a urine HCG to rule of pregnancy. 
2. Hyperemesis gravidum is a common cause of Mallory Weiss tear. 
3. If the female is pregnant, the treatment selected should be safe for the mother and the fetus
4. In most cases, Mallory Weiss bleeding stops spontaneously

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