Haematemesis

Causes

Appropriate Tests

 

The magnitude of acute blood loss and the likely cause should be determined on clinical grounds.

The initial haemoglobin may be within the reference interval after acute severe haemorrhage.

Full blood count (PCV), Blood group and antibody screen, Crossmatch (compatibility testing).

See also Blood transfusion - recipient testing.

Endoscopy with biopsy, as appropriate.

Gastritis/gastric erosions

 

Gastric ulcer, especially

  • Peptic ulcer
  • Gastric carcinoma

 

See under Peptic ulcer.

Duodenal ulcer 

See under Peptic ulcer.

Oesophageal varices

 

Oesophageal carcinoma

 

Oesophagitis, oesophageal ulcer

 

Mallory Weiss lesion

 

Vascular malformation

 

Factitious