Main points of collecting hematemesis history

Answer: 1. Characteristics of hematemesis

(1) onset and course of disease: first onset or recurrence, time of first onset, number of attacks and duration of each attack.

(2) Incentives: drinking, severe vomiting, coarse or prickly food, foreign bodies, irritating drugs, and stopping using acid inhibitors.

(3) the amount of hematemesis.

(4) Character: bright red blood, dark red blood, dark brown liquid and light brown liquid; Contains blood clots, dendritic tube.

(5) Pay attention to the difference from hemoptysis.

2. Concurrent certificate

(1) Abdominal pain: course, location, nature, degree, duration and rhythm; Relationship with vomiting blood.

(2) Vomiting: the relationship between the severity and hematemesis.

(3) bloody stool: black stool, tarry stool and dark red bloody stool.

(4) yellow staining of skin and sclera, spider nevus, liver palm and telangiectasia of skin mucosa; Skin mucous membrane bleeding tendency.

(5) chills and fever.

(6) stress state.

(7) Loss of appetite, fatigue and emaciation.

(8) Abdominal circumference is enlarged and edema appears.

(9) stomach type.

(10) heartburn, acid regurgitation, swallowing pain and diarrhea.

(1 1) dizziness, fatigue, palpitation, sweating, thirst, decreased urine output and unconsciousness.

3. Related diseases and medical history

(1) Eating rough and prickly food and esophageal foreign bodies by mistake.

(2) History of severe vomiting (esophageal and cardiac mucosal tear).

(3) Diseases of digestive system: peptic ulcer, liver cirrhosis, esophageal variceal bleeding, hemorrhagic gastritis, reflux esophagitis, esophageal ulcer, gastric cancer and hereditary telangiectasia.

(4) Stress state: myocardial infarction, cerebrovascular disease and burn.

(5) Blood diseases.

(6) drinking history.

(7) Medication history: nonsteroidal antipyretic and analgesic drugs.