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Upper gastrointestinal bleed

Prevalence
Causes
Clinical features
Investigations
Therapy
Prevention
Prognosis
Clinical features

In uncertain cases, look for evidence of anaemia:
  • dyspnoea c

Why?

Dyspnoea makes anaemia slightly more likely

Patient Target Disorder and
Reference Standard		 Diagnostic Test LR+
(95% CI) 		Post-test Probability LR-
(95% CI) 		Post-test Probability
suspected anaemia c
(pre-test probability: %) 		anaemia
(haemoglobin <8.0 g/dl) 		upper GI symptoms 1.4
(1.0 to 1.8) 		25% 0.67
(0.44 to 1.0) 		14%
 

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   A   Townsend , CM   Ball
Reviewer   L   Friedman
CAT Writers   A   Townsend , CM   Ball , CJ   Wotton