id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-11540	Marziani, Beatrice; Spampinato, Michele Domenico; Caputo, Fabio; Guarino, Matteo; Luppi, Francesco; Perna, Benedetta; Passaro, Angelina; Cariani, Daniele; Merighi, Alberto; Arena, Rosario; De Giorgio, Roberto	A case of hemorrhagic shock due to massive upper gastrointestinal bleeding: from the differential diagnosis to the correct management	2023	4	.pdf	application/pdf	3308	159	48	A detailed discussion about the disease, prog- nosis, patient’s perception, knowledge, and treatment preference is fundamental to developing the correct diagnostic and therapeutic strategy in accordance with the patient’s wishes, especially in crit- ical conditions.20 Conclusions In summary, despite the unfavorable outcome, three important caveats should be considered: i) the patient’s clinical history and physical examination are crucial for the diagnosis and manage- ment of patients with UGIB; ii) hemodynamic status, instead of hemoglobin levels, should determine the severity of bleeding and guide the appropriate diagnostic and therapeutic work-up, includ- ing airway protection, breathing, and circulatory support, eventu- ally with an appropriate massive resuscitation strategy; iii) although not the gold standard, CECT can be a useful tool in patients with massive UGIB to establish a differential diagnosis in combination with OGD (Figure 1). Based on this case, we reviewed the diagnostic and therapeutic approaches for patients with massive UGIB and pro- vided a practical approach to this life-threatening emergency.	cache/ecj-11540.pdf	txt/ecj-11540.txt