Melena and Hematemesis Post EVAR

Which of these (select more than one) were the complications the patient faced post-EVAR?

• Fever and chills

• Hematemesis

• Melena

• Hepatic encephalopathy

What was the first thing they did when a ruptured AAA was suspected?

• CT Aortogram

• CT Mesenteric Angiography

• CTAP

• Chest x-ray

How should melena after EVAR be managed?

• Monitor for signs of ongoing bleeding, perform imaging studies, consider endovascular or surgical intervention

• Ignore the symptoms and hope they resolve on their own

• Consult a psychic for medical advice

• Perform a dance ritual to stop the bleeding

What was done to deal with the "flank pain" that was brought up by the patient's daughters?

• EVAR

• OGD

• CT Aortogram

• Percutaneous Drainage

What are the symptoms of gastrointestinal bleeding post EVAR?

• Nausea, vomiting, chest pain

• Fever, cough, headache

• Abdominal pain, hematemesis, melena, hematochezia, weakness, dizziness, signs of shock

• Joint pain, skin rash, blurred vision

What are some diagnostic tests for melena and hematemesis post EVAR?

• PET scan

• Ultrasound

• Upper endoscopy, colonoscopy, CT angiography, blood tests

• MRI

What did the patient do in the HD that brought up concerns of delirium?

• Pull out his NGT

• Talk to himself

• Pull out his IA line

• Pull out his CVC line

What is the first step in managing melena after EVAR?

• Perform a CT scan

• Initiate anticoagulant therapy

• Administer antibiotics immediately

• Stabilize the patient's condition and ensure hemodynamic stability