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    UNSOLVED obscure GI bleeding

    JustAsk
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      szuhanchen last edited by

      有個病人今天已經因為GI bleeding 反覆入院多次,胃鏡大腸鏡小腸鏡都做過多次、CTA, RBC scan, capsule endoscope都做過,臨床症狀也是明顯的tarry stool和Hb, Plt consumption
      Hema方面已詢問過相關性但被初步排除、rheuma中ANA, Comb test和C3是有異常,但沒有找到相關的paper 應該要繼續往這方面深入survey嗎?

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        TinyNotes @szuhanchen last edited by

        @szuhanchen 能不能提供更多的lab data資訊,包括hema和Rheuma相關的?
        有沒有其他出血傾向的表現? 瘀血? 紫斑?
        如果懷疑是Rheuma相關,有沒有其他相關的症狀能夠符合criteria?

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