April 30, 2022

Health Disorder Empowerment 1400H - 1500H

Course– objective - for Via Zoom
Fundamentals laypeople to have an
and understanding of the
Generalities in FUNDAMENTALS
Medical and GENERALITIES in
Management the MEDICAL
of MANAGEMENT of
ABDOMINAL ABDOMINAL
BLEEDING BLEEDING.
[OVERVIEW]
Health Disorder Empowerment
Course– objective - for ROJoson PEP Talk
Fundamentals laypeople to have an
and understanding of the I have a Patient
Generalities in FUNDAMENTALS Empowerment
Medical Program in which I
and GENERALITIES in
Management like to empower the
the MEDICAL lay people or
of MANAGEMENT of patients to take
ABDOMINAL ABDOMINAL control in the
BLEEDING BLEEDING. management of
[OVERVIEW] their health.
 There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer.
 Fundamentals Contents of ABDOMINAL DISORDERS March 19, 2022
1400H - 1500H
and Generalities [OVERVIEW] Via Zoom
in Medical • What is an abdominal disorder?
Management of • What are the different types of abdominal
ABDOMINAL disorders?
BLEEDING • What are the causes of abdominal disorders?
• How common are the abdominal disorders?
• Clinical diagnosis of abdominal disorders?
• Paraclinical diagnostic procedures for • Abdominal Pain
abdominal disorders? • Abdominal Mass
• Basic treatment modalities for abdominal • Abdominal Obstruction
disorders? • Abdominal Bleeding
• Jaundice
Health Disorder Empowerment My PEP TALK today
Course– objective - for is entitled:
Fundamentals laypeople to have an Fundamentals and
and Generalities in
understanding of the
Generalities in Medical
FUNDAMENTALS
Management of
Medical and GENERALITIES in ABDOMINAL
Management the MEDICAL BLEEDING [AN
of MANAGEMENT of OVERVIEW]. This is
ABDOMINAL ABDOMINAL part of the Health
BLEEDING BLEEDING. Disorder Course.
[OVERVIEW]
 Definition of Terms in Title AND Delimitation of
Fundamentals
Coverage of Talk:
and Generalities
in Medical
Fundamentals – simplest and essential facts and
Management of
theories which can serve as a basis or foundation
ABDOMINAL
and support for advanced information
BLEEDING
Generalities – general statements of info, not
covering specifics and details

Medical Management – diagnosis and treatment

by physicians
 Fundamentals Contents of PEP TALK on ABDOMINAL
and Generalities BLEEDING
in Medical • What is an abdominal bleeding?
Management of • What are the different types of abdominal
ABDOMINAL bleeding?
BLEEDING • What are the causes of abdominal bleeding?
• How common are the abdominal bleeding?
• Clinical diagnosis of abdominal bleeding?
• Paraclinical diagnostic procedures for
abdominal bleeding?
• Basic treatment modalities for abdominal
bleeding?
 • What is an abdominal BLEEDING?
Fundamentals
and Generalities
in Medical
Management of
ABDOMINAL
BLEEDING
 • What is an abdominal BLEEDING?
Fundamentals
and Generalities
• Abdominal bleeding is bleeding in the belly.
in Medical
Management of
• Belly consists of the following: abdominal wall
ABDOMINAL
and the internal organs in the abdominal
BLEEDING
cavity.
 • What are the different types of abdominal
Fundamentals
BLEEDING?
and Generalities
in Medical
Management of
ABDOMINAL
BLEEDING
 • What are the different types of abdominal NOT COMMON –
Fundamentals
BLEEDING?
and Generalities • URINARY
in Medical BLEEDING (blood
• Based on source or origin or location of
Management of in urine –
bleeding
ABDOMINAL HEMATURIA –
BLEEDING gross /
• Bleeding on the abdominal wall – EXTERNAL
BLEEDING microscopic)
• Bleeding from inside the abdominal cavity (in • RUPTURED
its contents – hollow and solid organs and AORTIC
blood vessels) – INTERNAL BLEEDING ANEURYSM
• GASTROINTESTINAL BLEEDING – COMMON
• UTERINE BLEEDING - COMMON RARE –
• BILIARY BLEEDING
 • What are the causes of abdominal BLEEDING?
Fundamentals
and Generalities • TRAUMA
in Medical • NON-TRAUMA
Management of
ABDOMINAL
BLEEDING
 • What are the causes of abdominal BLEEDING? Injuries causing
Fundamentals
bleeding
and Generalities • TRAUMA - Abdominal wall
in Medical • BLUNT TRAUMA TO THE ABDOMEN
blood vessel
Management of • PENETRATING TRAUMA TO THE ABDOMEN
injuries
ABDOMINAL • GUNSHOT WOUNDS - Internal solid
BLEEDING • STAB WOUNDS
organ injuries
- Internal hollow
organ injuries
- Inside the
abdominal cavity
blood vessel
injuries
 • What are the causes of abdominal BLEEDING?
Fundamentals
and Generalities • NON-TRAUMA
in Medical • TUMORS
Management of • CANCERS
ABDOMINAL • NON-CANCERS
BLEEDING • ULCERS
• VARICES
• ANEURYSMS / BLOOD VESSEL
MALFORMATIONS
• INFLAMMATIONS / INFECTIONS
• HORMONAL CHANGES IN FEMALES
• DRUGS
 • What are the causes of abdominal BLEEDING?
Fundamentals
and Generalities TUMOR – RUPTURE CAUSING BLEEDING
in Medical
Management of
ABDOMINAL
BLEEDING
 • What are the causes of abdominal BLEEDING?
Fundamentals
and Generalities ULCER – EROSION CAUSING BLEEDING
in Medical
Management of
ABDOMINAL
BLEEDING
 • What are the causes of abdominal BLEEDING?
Fundamentals
and Generalities INFLAMMATION / INFECTION – CAUSING
in Medical BLEEDING
Management of
ABDOMINAL
BLEEDING

COLITIS
 • What are the causes of abdominal BLEEDING?
Fundamentals
and Generalities VARICES – RUPTURE CAUSING BLEEDING
in Medical
Management of
ABDOMINAL
BLEEDING
 • What are the causes of abdominal BLEEDING?
Fundamentals
and Generalities ANEURSYM – ABDOMINAL AORTA – RUPTURE
in Medical CAUSING BLEEDING
Management of
ABDOMINAL
BLEEDING
 • What are the causes of abdominal BLEEDING?
Fundamentals
and Generalities HORMONAL CHANGES IN FEMALES
in Medical
Management of
ABDOMINAL
BLEEDING
 • How common are the abdominal BLEEDING?
Fundamentals
and Generalities
• NON-TRAUMA ABDOMINAL BLEEDING
in Medical
Management of
ABDOMINAL
• GASTROINTESTINAL BLEEDING – MOST
BLEEDING
COMMON
• UTERINE BLEEDING - COMMON
• URINARY BLEEDING – COMMON
• RUPTURED AORTIC ANEURYSM –NOT SO
COMMON
• BILIARY BLEEDING – RARE
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities
in Medical
Management of
ABDOMINAL
BLEEDING
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals Discussion limited
and Generalities In patients with NO history of TRAUMA to to
in Medical the abdomen, starting points in suspecting • NON-TRAUMATIC
Management of INTERNAL ABDOMINAL BLEEDING are: ABDOMINAL
ABDOMINAL BLEEDING
BLEEDING
1. Fresh blood in vomitus • GASTRO-
2. Fresh blood in defecation INTESTINAL
3. Black stools BLEEDING
4. Pallor or paleness with abdominal
symptoms
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities TIPS:
in Medical
Management of BASIC EVALUATION METHODS:
ABDOMINAL
BLEEDING • HISTORY TAKING – TO GET SYMPTOMS
• PHYSICAL EXAMINATION – TO GET SIGNS

CLINICAL DIAGNOSIS
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities TIPS:
in Medical Basic data needed in
Management of BASIC EVALUATION METHODS: HISTORY:
ABDOMINAL • When initial
BLEEDING • HISTORY TAKING – TO GET SYMPTOMS symptoms noted
• PHYSICAL EXAMINATION – TO GET SIGNS • Subsequent
course
• Associated
symptoms
CLINICAL DIAGNOSIS
 Basic data needed in
• Clinical diagnosis of abdominal BLEEDING? EXAMINATION:
Fundamentals
and Generalities TIPS:
in Medical LOOK and PALPATE
Management of BASIC EVALUATION METHODS: • Look for bulge
ABDOMINAL • Look for
BLEEDING • HISTORY TAKING – TO GET SYMPTOMS distention
• PHYSICAL EXAMINATION – TO GET SIGNS • Palpate for mass
• Palpate for
tenderness

CLINICAL DIAGNOSIS
 • Clinical diagnosis of abdominal BLEEDING? Analyze further
Fundamentals through more data
and Generalities In patients with NO history of TRAUMA to gathering –
in Medical the abdomen, starting points in suspecting symptoms, signs
Management of INTERNAL ABDOMINAL BLEEDING are: and repeated
ABDOMINAL questioning and
BLEEDING
1. Fresh blood in vomitus
2. Fresh blood in defecation physical
examination until
3. Black stools diagnosis is quite
4. Pallor or paleness with abdominal certain that there is
symptoms really
GASTROINTESTINAL
BLEEDING, type, and
specific cause.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities TIPS:
in Medical Look for cues for a SPECIFIC CAUSE or DISEASE DISORDER
Management of causing the ABDOMINAL BLEEDING.
ABDOMINAL
BLEEDING Use PATTERN RECOGNITION of a particular SPECIFIC CAUSE
disease and PREVALENCE process in those with
similar presentation of symptoms and signs.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities TIPS:
in Medical GASTROINTESTINAL BLEEDING – DISORDER
Management of
ABDOMINAL • Palpate for a MASS as a possible cause
BLEEDING • If no mass, use the color of vomitus and stools SPECIFIC CAUSE
as cues:
• Upper GI Bleeding – vomiting of frank
blood; black stools per anus
• Lower GI Bleeding – passage of frank blood
per anus
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities
in Medical CASE ILLUSTRATIONS
Management of
ABDOMINAL Starting points in evaluation:
BLEEDING 1. Fresh blood in vomitus
2. Fresh blood in defecation
3. Black stools
4. Pallor or paleness with abdominal
symptoms

*NO HISTORY OF TRAUMA

 • Clinical diagnosis of abdominal BLEEDING? Analyze further
Fundamentals through more data
and Generalities Case Illustration: gathering –
in Medical A patient presenting with vomiting of fresh blood. symptoms, signs
Management of and repeated
ABDOMINAL START THINKING OF GASTROINTESTINAL questioning and
BLEEDING BLEEDING. physical
examination until
Usually, UPPER GASTROINTESTINAL BLEEDING! diagnosis is quite
(Bleeding in the UPPER part of the GI Tract) certain that there is
really
GASTROINTESTINAL
BLEEDING, type, and
specific cause.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities Case Illustration:
in Medical A patient presenting with vomiting of fresh blood.
Management of
ABDOMINAL START THINKING OF UPPER GASTROINTESTINAL
BLEEDING BLEEDING.
If there is palpable epigastric mass, most likely it
is the cause of the bleeding. With the location
and the fresh blood in the vomitus, most likely, a
stomach tumor is the cause. Based on
prevalence, stomach cancer is the diagnosis.
There may or may not be associated black stool
and pallor.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities Case Illustration:
in Medical A patient presenting with vomiting of fresh blood.
Management of
ABDOMINAL START THINKING OF UPPER GASTROINTESTINAL
BLEEDING BLEEDING.

If there is NO palpable abdominal mass and there

is history of intake of drugs that are notorious for
causing gastrointestinal bleeding, the diagnosis
will be drug-induced gastrointestinal bleeding.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities Case Illustration:
in Medical A patient presenting with vomiting of fresh blood.
Management of
ABDOMINAL START THINKING OF UPPER GASTROINTESTINAL
BLEEDING BLEEDING.
If there is NO palpable abdominal mass and NO
history of intake of drugs that are notorious for
causing gastrointestinal bleeding and there is
history of recurrent epigastric pain for the past 3
months, a diagnosis of peptic ulcer should be
considered. A stomach tumor is a secondary
diagnosis.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities
in Medical CASE ILLUSTRATIONS
Management of
ABDOMINAL Starting points in evaluation:
BLEEDING 1. Fresh blood in vomitus
2. Fresh blood in defecation
3. Black stools
4. Pallor or paleness with abdominal
symptoms

*NO HISTORY OF TRAUMA

 • Clinical diagnosis of abdominal BLEEDING? Analyze further
Fundamentals through more data
and Generalities Case Illustration: gathering –
in Medical A patient presenting with fresh blood on symptoms, signs
Management of defecation. and repeated
ABDOMINAL questioning and
BLEEDING START THINKING OF GASTROINTESTINAL physical
BLEEDING. examination until
diagnosis is quite
Usually, LOWER GASTROINTESTINAL BLEEDING! certain that there is
(Bleeding in the LOWER part of the GI Tract such really
as anus, rectum and lower part of the large GASTROINTESTINAL
intestines) BLEEDING, type, and
specific cause.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities Case Illustration:
in Medical A patient presenting with fresh blood on
Management of defecation.
ABDOMINAL START THINKING OF LOWER GASTROINTESTINAL
BLEEDING BLEEDING.
If there is a palpable left lower quadrant mass,
most likely it is the cause of the bleeding. If there
are associated symptoms of difficulty in
defecation, a colonic cancer is the primary clinical
diagnosis.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities Case Illustration:
in Medical A patient presenting with fresh blood on
Management of defecation.
ABDOMINAL START THINKING OF LOWER GASTROINTESTINAL
BLEEDING BLEEDING.
If there is NO palpable abdominal mass and there
is anal pain and bleeding on defecation, a
diagnosis of hemorrhoids should be primarily
considered and should be supported by a digital
rectal examination at the very least.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities Case Illustration:
in Medical A patient presenting with fresh blood on
Management of defecation.
ABDOMINAL START THINKING OF LOWER GASTROINTESTINAL
BLEEDING BLEEDING.
If there is NO palpable abdominal mass and there
is no anal pain but there is difficulty in defecation,
a diagnosis of rectal tumor should be primarily
considered and should be investigated further.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities
in Medical CASE ILLUSTRATIONS
Management of
ABDOMINAL Starting points in evaluation:
BLEEDING 1. Fresh blood in vomitus
2. Fresh blood in defecation
3. Black stools
4. Pallor or paleness with abdominal
symptoms

*NO HISTORY OF TRAUMA

 • Clinical diagnosis of abdominal BLEEDING? Analyze further
Fundamentals through more data
and Generalities Case Illustration: gathering –
in Medical A patient presenting with black stools on symptoms, signs
Management of defecation. and repeated
ABDOMINAL questioning and
BLEEDING START THINKING OF GASTROINTESTINAL physical
BLEEDING after making sure that patient has not examination until
recently eaten DINUGUAN, PUSIT, and other foods diagnosis is quite
that may produce black stool. certain that there is
really
Usually, UPPER GASTROINTESTINAL BLEEDING! GASTROINTESTINAL
(Bleeding in the UPPER part of the GI Tract – such BLEEDING, type, and
as stomach and upper part of small intestines) specific cause.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities Case Illustration:
in Medical A patient presenting with black stools on
Management of defecation.
ABDOMINAL
BLEEDING START THINKING OF UPPER GASTROINTESTINAL
BLEEDING.
If there is palpable epigastric mass, most likely it
is the cause of the bleeding. With the location
and the black stool, most likely, a stomach tumor
is the cause. Based on prevalence, stomach
cancer is the diagnosis.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities Case Illustration:
in Medical A patient presenting with black stools on
Management of defecation.
ABDOMINAL
BLEEDING START THINKING OF UPPER GASTROINTESTINAL
BLEEDING.

If there is NO palpable abdominal mass and there

is history of intake of drugs that are notorious for
causing gastrointestinal bleeding, the diagnosis
will be drug-induced gastrointestinal bleeding or
gastritis.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities Case Illustration:
in Medical A patient presenting with black stools on
Management of defecation.
ABDOMINAL START THINKING OF UPPER GASTROINTESTINAL
BLEEDING BLEEDING.
If there is NO palpable abdominal mass and NO
history of intake of drugs that are notorious for
causing gastrointestinal bleeding and there is
history of recurrent epigastric pain for the past 3
months, a diagnosis of peptic ulcer should be
considered. A stomach tumor is a secondary
diagnosis.
 • Clinical diagnosis of abdominal BLEEDING?
Fundamentals
and Generalities
in Medical CASE ILLUSTRATIONS
Management of
ABDOMINAL Starting points in evaluation:
BLEEDING 1. Fresh blood in vomitus
2. Fresh blood in defecation
3. Black stools
4. Pallor or paleness with abdominal
symptoms

*NO HISTORY OF TRAUMA

 • Clinical diagnosis of abdominal BLEEDING? Analyze further
Fundamentals through more data
and Generalities Case Illustration:
gathering –
in Medical A patient presenting with pallor or paleness with
symptoms, signs
Management of abdominal symptoms.
and repeated
ABDOMINAL questioning and
BLEEDING START THINKING OF GASTROINTESTINAL
physical
BLEEDING.
examination until
diagnosis is quite
certain that there is
really
GASTROINTESTINAL
BLEEDING, type, and
specific cause.
 • Clinical diagnosis of abdominal BLEEDING? Analyze further
Fundamentals through more data
and Generalities Case Illustration:
gathering –
in Medical A patient presenting with pallor or paleness with
symptoms, signs
Management of abdominal symptoms.
and repeated
ABDOMINAL questioning and
BLEEDING START THINKING OF GASTROINTESTINAL
physical
BLEEDING.
examination until
• Palpate the abdomen for a mass. If present, diagnosis is quite
use location of mass to aid in clinical diagnosis. certain that there is
really
• Evaluate associated symptoms particularly on GASTROINTESTINAL
color of stools. Use them to aid in clinical BLEEDING, type, and
diagnosis. specific cause.
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals Discussion limited
abdominal BLEEDING?
and Generalities to
in Medical • NON-TRAUMATIC
Management of ABDOMINAL
ABDOMINAL BLEEDING
BLEEDING • GASTRO-
INTESTINAL
BLEEDING
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals FOR GASTRO-
abdominal BLEEDING?
and Generalities INTESTINAL
in Medical Common instrumental and laboratory diagnostic BLEEDING,
Management of procedures for ABDOMINAL BLEEDING:
ABDOMINAL ENDOSCOPY IS THE
BLEEDING • Imaging procedures (x-rays – plain / with MOST RELIABLE
barium dye; ultrasound; CT scan; MRI; PET INSTRUMENTAL
scan; etc.) DIAGNOSTIC
• Endoscopy (upper - esophagogastroscopy / PROCEDURE –
lower – colonoscopy, sigmoidoscopy, because of direct
proctoscopy) visualization of
• Blood tests (CBC; liver function tests; tumor bleeding and where
markers; etc.) it is coming from.
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals
abdominal BLEEDING?
and Generalities
in Medical
Management of The foremost indication for a paraclinical
ABDOMINAL diagnostic procedure can be stated this
BLEEDING way:

if you are not certain on the primary

clinical diagnosis and you need to be
certain or be more certain before
treatment, then go for a paraclinical
diagnostic procedure.
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals As a rule, there is no need
abdominal BLEEDING?
and Generalities for a paraclinical
in Medical diagnostic procedure if:
Management of
To decide on indication of the paraclinical
• you are quite
ABDOMINAL diagnostic procedure,
certain of your
BLEEDING the physician uses two processes – primary clinical
- degree of certainty on the primary diagnosis.
clinical diagnosis and • treatment plans for
primary and
- comparison of the treatment plans for secondary
the primary and secondary clinical diagnoses are the
diagnoses. same.
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals
abdominal BLEEDING?
and Generalities
in Medical
Competencies required of physicians managing
Management of
abdominal BLEEDING:
ABDOMINAL
BLEEDING • Know the uses and indications of all known
instrumental and laboratory diagnostic
procedures for abdominal BLEEDING.
• Use as needed and indicated.
• Select the most cost-effective one using the
BRCA process.
• Know how to interpret the results.
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals
abdominal BLEEDING?
and Generalities
in Medical
BRCA Process in selecting diagnostic procedures
Management of
ABDOMINAL Procedures Benefit Risk Cost Availability
BLEEDING (goal – to
be more
definite on
the
diagnosis)

Option1        
Option2        
Option3        
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain?
Fundamentals
BLEEDING?
and Generalities
in Medical
Management of
ABDOMINAL
BLEEDING
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain?
Fundamentals
BLEEDING?
and Generalities
in Medical SPECIFIC DISEASE SURGICAL / POTENTIALLY SURGICAL / NON-SURGICAL
Management of
ABDOMINAL W
BLEEDING X
Y
Z

• Surgical – outright surgical

• Non-surgical – non-surgical at all times (no OPERATION)
• Potentially surgical – surgical only when needed
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain? Surgical Treatment:
Fundamentals
BLEEDING? • Removable of
and Generalities
cause of bleeding
in Medical Examples of OUTRIGHT SURGICAL TREATMENT • Hemostatic
Management of • Massive bleeding and surgically effective and suturing of
ABDOMINAL remediable bleeders
BLEEDING • Bleeding resectable tumors • Occlusion and
• Ruptured aortic aneurysm bypass of ruptured
aortic aneurysm

• Surgical – outright surgical

• Non-surgical – non-surgical at all times (no OPERATION)
• Potentially surgical – surgical only when needed
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain? Surgical Treatment:
Fundamentals
BLEEDING? • Removable of
and Generalities
cause of bleeding
in Medical Examples of POTENTIALLY SURGICAL TREATMENT
• Hemostatic
Management of in which a WATCH & WAIT stance is a better
suturing of
ABDOMINAL option and in which a medical management can
bleeders
BLEEDING be tried
• Occlusion and
• Varices
• Ulcers bypass of ruptured
• Inflammation /infections (colitis) aortic aneurysm
• Small aortic aneurysms
• Surgical – outright surgical
• Non-surgical – non-surgical at all times (no OPERATION)
• Potentially surgical – surgical only when needed
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain? Non-Surgical
Fundamentals
BLEEDING? Treatment:
and Generalities
in Medical Examples of OUTRIGHT NON-SURGICAL • Medicines
Management of TREATMENT • NO medicines
ABDOMINAL • Drug-induced GI bleeding (watchful waiting;
BLEEDING • Benign ulcers natural support
management;
etc.)

• Surgical – outright surgical

• Non-surgical – non-surgical at all times (no OPERATION)
• Potentially surgical – surgical only when needed
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain?
Fundamentals
BLEEDING?
and Generalities
in Medical
BRCA Process in selecting cost-effective treatment
Management of
modality.
ABDOMINAL
BLEEDING
 Fundamentals Contents of PEP TALK on ABDOMINAL Summary
and Generalities BLEEDING Take Away
in Medical • What is an abdominal bleeding?
Management of • What are the different types of abdominal
ABDOMINAL bleeding?
BLEEDING • What are the causes of abdominal bleeding?
• How common are the abdominal bleeding?
• Clinical diagnosis of abdominal bleeding?
• Paraclinical diagnostic procedures for
abdominal bleeding?
• Basic treatment modalities for abdominal
bleeding?
 Fundamentals Be always in touch with reliable medical Take Away in
and Generalities information on fundamentals and relation to
in Medical generalities in medical management of Patient
Management of ABDOMINAL BLEEDING.
ABDOMINAL
Empowerment
BLEEDING Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
medical management of ABDOMINAL
BLEEDING.
 April 30, 2022
Health Disorder Empowerment 1400H - 1500H
Course– objective - for Via Zoom
Fundamentals laypeople to have an
and understanding of the
Generalities in FUNDAMENTALS
Medical and GENERALITIES in
Management the MEDICAL
of MANAGEMENT of
ABDOMINAL ABDOMINAL
BLEEDING BLEEDING.
[OVERVIEW]