Edit concept Question Editor Create issue ticket

Acute Hemorrhage


Presentation

  • In this study, the authors present a case series of 3 patients with posttraumatic nonspontaneous hemorrhage of intracerebral cavernous malformations (CMs).[ncbi.nlm.nih.gov]
  • Abstract We report three cases of acutely bleeding adrenal pseudocysts presenting as hemorrhagic shock. Pregnancy was associated in two cases.[ncbi.nlm.nih.gov]
  • Since neither diverticulum was bleeding at the time of angiography, focal contrast extravasation was not present.[ncbi.nlm.nih.gov]
  • A 71-year-old man on anticoagulant therapy presented with abrupt and progressive deterioration of his level of consciousness.[ncbi.nlm.nih.gov]
  • There are only reports of these tumors presenting acutely with intracranial hemorrhage in adult patients. Case Description: A 10-year-old boy presented with acute onset of headache, emesis, and diplopia.[surgicalneurologyint.com]
Pallor
  • Signs of hemorrhage include tachycardia, hypotension, pallor, and cold moist skin. Treatment Pressure should be applied directly to any obviously bleeding body part, and the part should be elevated.[medical-dictionary.thefreedictionary.com]
Tracheal Deviation
  • Computed tomography and magnetic resonance imaging revealed significant tracheal deviation to the right due to an extensive hematoma surrounded by a capsule in the left lobe of the thyroid gland with extension to the upper mediastinum.[ncbi.nlm.nih.gov]
Hypotension
  • Severe hypotension Three studies with 4,233 patients were available for the analysis of severe hypotension. Heterogeneity among trials was low (Chi-square   1.14, I 2  0%, P  0.56).[nature.com]
  • When the hypotension is very severe (e.g., mean arterial pressures The combined effects of arterial hypotension and sympathetic activation lead to activation of humoral compensatory mechanisms.[cvphysiology.com]
  • (aka minimal normotension) (this is controversial) early haemostatic resuscitation damage control surgery Permissive hypotension Permissive hypotension, or minimal normotension, seeks to avoid excessive fluid administration (and the associated problems[lifeinthefastlane.com]
  • A quantitative analysis of transcapillary refill in severe hemorrhagic hypotension in dogs. Prist R, Rocha-e-Silva M, Scalabrini A, Coelho IJ, França ES, Meneghetti C, Braga GA. Drucker WR, Chadwick CD, Gann DS.[derangedphysiology.com]
  • At first, this is limited to tachycardia with exercise and postural hypotension.[medtextfree.wordpress.com]

Workup

  • (See Workup.) Axial noncontrast computed tomography scan of the brain of a 60-year-old man with a history of acute onset of left-sided weakness.[emedicine.medscape.com]
  • Based on the clinical presentation, a workup for thyroid disorders, liver disorder, sepsis, or leukemia may be indicated. Endometrial tissue sampling should be performed in patients with AUB who are older than 45 years as a first-line test.[acog.org]
  • CT has traditionally been used in the radiologic workup of ICH (see the image below). However, numerous studies have demonstrated that MRI is more efficient in detecting ICH and in localizing ICH.[emedicine.medscape.com]
Pneumoperitoneum
  • Absence of pneumoperitoneum, no gastrointestinal parietal thickening but lack of segmental enhancement of the transverse colon suggestive of a gastrointestinal trauma until proven otherwise (perforation or ischemia).[imaios.com]

Treatment

  • Without operative treatment, mortality is as high as 90%. Immediate recognition of this complication as well as urgent operative treatment allowing the survival of 70% of patients is imperative.[ncbi.nlm.nih.gov]
  • PURPOSE: To evaluate the endovascular use of ethylene vinyl alcohol (EVOH) copolymer (Onyx; ev3 Endovascular, Inc, Plymouth, Minnesota) for the treatment of acute peripheral nonneurologic hemorrhage.[ncbi.nlm.nih.gov]
  • Abstract Acute hemorrhage in the course of chronic pancreatitis is the most serious and challenging complication, and its treatment has been the subject of controversy for years.[ncbi.nlm.nih.gov]
  • The diagnostic dilemmas are discussed with special reference to their unusual presentations, diagnosis, and treatment. We believe that our cases, complicated by intracystic hemorrhage, may be related to pregnancy.[ncbi.nlm.nih.gov]

Prognosis

  • In this study, AML patients with prolonged PT had a significantly poorer prognosis after ICH ( P 22 ].[academic.oup.com]
  • The prognosis of cirrhotic patients with acute variceal hemorrhage depends on the severity of liver disease and on bleeding volume.[scielo.isciii.es]
  • About 10 to 30% die before reaching medical help with first bleed Nontraumatic subarachnoid hemorrhage in patients who reach the hospital still has a mortality rate of 30 to 60% SAH from an arteriovenous malformation has a better prognosis than SAH from[learningradiology.com]
  • Incidence, predictive factors, and prognosis of the hepatorrenal syndrome in cirrhosis with ascites. Gastroenterology 1993;105:229-36. Bañares R, Albillos A, Rincón D, et al.[sapd.es]
  • . • Prognosis is based on multiple factors, including volume and location of hemorrhage, age, level of consciousness, presence of intraventricular hemorrhage, and warfarin use. • Coagulopathy, if present, should be corrected. • Rapid blood pressure control[medlink.com]

Etiology

  • Demographic data, clinical presentation, underlying etiology, culprit vessel, endovascular treatment, outcomes, and follow-up times were obtained. RESULTS: The literature search yielded 19 relevant articles.[ncbi.nlm.nih.gov]
  • Etiologies of Acute Abnormal Uterine Bleeding The etiologies of acute AUB, which can be multifactorial, are the same as the etiologies of chronic AUB.[acog.org]
  • Once the retina can be visualized, treatment is aimed at the underlying etiology as soon as possible.[aao.org]
  • Objectives • • • • • Types of cerebral strokes and etiology CT and MRI in cerebral hemorrhage CT and MRI in cerebral infarction 4-min Vedio for learning purpose Conclusion 3.[slideshare.net]
  • Etiology and outcome of pacients with upper gastrointestinal bleeding: A study from South of Iran. The Saudi J of Gastroenterol 2010; 16: 253-59.[md-medicaldata.com]

Epidemiology

  • In order to achieve an early diagnosis, the need to keep this entity in mind must be emphasized, especially in favorable epidemiological environments as the one of this patient.[scielo.org.pe]
  • The author discusses these advances and updates on the epidemiology and pathophysiology of intracerebral hemorrhage.[medlink.com]
  • Acute hemorrhagic conjunctivitis: etiology, epidemiology and clinical manifestation. Tokyo: University of Tokyo Press; 1989. p. 11–33. Centers for Disease Control and Prevention.[wwwnc.cdc.gov]
  • Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. Lancet Neurol. 2003 Jan. 2(1):43-53. [Medline].[emedicine.medscape.com]
  • Epidemiology of acute gastrointestinal bleeding. Best Pract Res Clin Gastroenterology 2008; 22:209-24. Hreinson JP, Kalaitzakis E, Gudmundsson S, Bjornsson ES.[md-medicaldata.com]
Sex distribution
Age distribution

Pathophysiology

  • The author discusses these advances and updates on the epidemiology and pathophysiology of intracerebral hemorrhage.[medlink.com]
  • Natural history, current concepts, classification, factors impacting endovascular therapy, and pathophysiology of cerebral and spinal dural arteriovenous fistulas. Clin Neurol Neurosurg 2014;121:64-75. 65. Serulle Y, Miller TR, Gandhi D.[j-stroke.org]
  • Acute hypertensive response in patients with stroke: pathophysiology and management. Circulation 118, 176–187 (2008). 5. Krishnan, K. et al.[nature.com]
  • Pathophysiology and treatment of coagulopathy in massive hemorrhage and hemodilution. Anesthesiology. 2010;113:1205-1219. Jansen JO, Thomas R, Loudon MA, Brooks A. Damage control resuscitation for patients with major trauma. BMJ. 2009;338:b1778.[medigraphic.com]
  • […] subdural hematoma (SDH), and epidural hematoma (EDH); if intra-axial, to locate the specific neuroanatomic site To determine the age of the hemorrhage To identify the etiology To aid in managing the bleed and in ascertaining the patient's prognosis Pathophysiology[emedicine.medscape.com]

Prevention

  • Especially if embolization of the backdoor is not feasible, collateral supply via other intercostal arteries should be either ruled out or embolized to prevent ongoing hemorrhage.[ncbi.nlm.nih.gov]
  • Prompt and radical surgical removal of the mass, which allows a rapid resolution of hydrocephalus and prevents the risk of rebleeding, may constitute the safest management strategy.[ncbi.nlm.nih.gov]
  • Funding and Disclosures * From the departments of Medicine and Preventive Medicine, Western Reserve University School of Medicine and University Hospitals. We are indebted to Mrs. Grace Achtermann and Mrs.[nejm.org]
  • Treating HTN acutely may prevent hematoma expansion, however, the effect of aggressive HTN treatment has not been determined.[clinicaltrials.gov]
  • Abstract Objective: To assess intermittent pneumatic compression (IPC) in the prevention of venous thromboembolism (VTE).[neurology.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!