Avtor/Urednik		Ocepek, Andreja; Pernat, Cvetka
Naslov		Epistaksa - simptom krvavitve iz prebavil? Prikaz primera
Prevedeni naslov		Epistaxis - a symptom of git bleeding? A case report
Tip		članek
Vir		In: Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 13. mednarodni simpozij o urgentni medicini; 2006 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2006
Obseg		str. 296-8
Jezik		slo
Abstrakt		Epistaxis or nasal bleeding is a frequent complaint. It is usually a simptom of pathology in the nasal cavity, the nasopharynx or the paranasal sinusis. In the literature we have not encountered a case where epistaxis ocurred due to gastrointestinal bleeding. We are reporting a case of a patient with epistaxis as a simptom of an arterial vessel haemorrhage from a penetrant gastric ulcer. Rapid fall in haemoglobin levels, pronunced leukocitosis and most of all deterioration of patients condition with the progression to haemorrhagic shock which all sugested an active internal bleeding urged us to perform endoscopy of the upper GI tract despite a history of epistaxis. The patient was succesfully treated with endoscopic haemostasis, intensive management of haemorrhagic shock and a proton pump inhibitor.
Deskriptorji		EPISTAXIS GASTROINTESTINAL HEMORRHAGE STOMACH ULCER GASTROSCOPY MIDDLE AGE