(n.) A discharge from the bowels of black matter, consisting of altered blood.
Example Sentences:
(1) He presented now with an acute illness, characterized by massive discharges from the ileostoma, fever, leucocytosis, meteroism, melaena and a tender abdomen.
(2) Oesophago-gastro-duodenoscopy was successfully performed in 196 of 208 patients admitted with haematemesis or melaena, or both.
(3) Clinical evidence of reperfusion were seen in 63 patients (70.8%), while new complications included hypotension (5.6%), heart failure (6.7%), cardiac arrhythmias (76.4%) majority of which are related to reperfusion and self-remitting, haematoma around vascular access sites (23.6%), melaena (3.3%) and cerebral infarction (2.2%).
(4) The patient presented with 3 episodes of melaena requiring blood transfusion on one occasion.
(5) We report the management of a case of malignant trophoblastic disease which presented initially as a haematemesis and melaena from a gastric metastasis.
(6) Clinical signs included nervous symptoms (intractability, wildness, aggressiveness), icterus, melaena, abdominal pain and photosensitisation.
(7) Attention is drawn to the occurrence of haematemesis in 17-5% and melaena in 2-9% of infants.
(8) However, severe haemorrhagic syndrome with petechia, haematoma, haematemesis and melaena was present in one patient only.
(9) The symptoms and signs were: oedema, gastro-intestinal symptoms, pain at the site of the bite, respiratory distress, leucocytosis, CNS depression, shock, fever, cyanosis, exanthema, ecchymoses, incoagulable blood, lymphangitis, melaena, thrombocytopenia, haematuria, and ophthalmoplegia.
(10) In a prospective study of death in 817 patients with haematemesis and melaena admitted on 894 occasions, the protocol included admission of all patients to a defined unit, early endoscopy and resuscitation, and planned management.
(11) The reported case suggests that patients with EDS type IV especially when presenting with haematemesis and melaena should be investigated for reflux, since bleeding might be due to the action of reflux on the fragile-walled vessels of such patients.
(12) In a prospective study of patients with haematemesis and melaena, there were 22 admissions of patients with bleeding stomal ulceration, representing 2.5% of total admissions to the Unit.
(13) A prospective study of patients with upper gastrointestinal bleeding admitted to a haematemesis and melaena unit has revealed an incidence of Mallory-Weiss tears of 8% (59 of 762 patients undergoing endoscopy).
(14) It is suggested that all large hospitals should have haematemesis and melaena units, as they do coronary care units, but that there is no advantage to be gained by a policy of aggressive treatment.
(15) An increasing body of data suggests that the antihaemostatic as well as the ulcerogenic actions of aspirin and other non-steroidal anti-inflammatory drugs may be operative when patients present with haematemesis and melaena.
(16) The stress-induced peptic ulcer manifests itself in haematemesis, melaena, blood in the stools and in perforation.
(17) This is a report of the immunohistochemical and ultrastructural features of a case of paraganglioma of the stomach in a 61-year-old woman who presented with melaena.
(18) The report illustrates that, particularly in young patients, the possibility of a primary tumour in the testis should be considered when a tumour mass is found in the upper abdomen, even if other symptoms suggestive of primary gastro-intestinal disorders, such as melaena and haematemesis, are also present.
(19) In addition to haemorrhagic bullae in every patient, epistaxis was present in 53, petechiae and ecchymoses in 23, subconjunctival or scleral bleeds in 17, melaena and haematemesis in 16, haematuria in 12 and menorrhagia in 9 patients.
(20) Its manifestation had taken the form of several melaena episodes and the consequent diagnostic difficulties are described.
Melena
Definition:
(n.) See Melaena.
Example Sentences:
(1) A 54 year old white male died three months after hospitalization for hematemesis and melena due to a duodenal ulcer and two monthos after the subsequent onset of progressive ascites and edema.
(2) The two patients were women, one a 45-year-old who consulted for pain, epigastric discomfort and melenas, and the other a 76-year-old who consulted for paraneoplastic syndrome and a palpable mass in the right lower quadrant.
(3) A case of primary lymphoma of the stomach with massive hematemesis and melena who underwent emergency gastrectomy is reported.
(4) In all active rectal haemorrhages (14 massive, 41 medium) an urgent colonoscopy has been carried out with a percentage of success of 90%; in the 20 cases of unexplained melena, colonoscopy has not led to a diagnosis; in the 14 patients with unexplained anemia, colonoscopy has shown 2 carcinomas, whereas in the 5 cases with occult blood in stools it has been diagnostic in the percentage of 60%.
(5) A 60-year-old man was admitted with the complaint of melena.
(6) Exploratory abdominal surgery in a budgerigar with a history of lethargy, feather fluffing, and melena revealed a neoplastic mass associated with the jejunal muscularis.
(7) Three patients have had melena and one had persistently guaiac-positive stools.
(8) Hematemesis and melena may be observed as in the Rendu-Osler disease.
(9) The results indicate that lethargy is an important symptom in patients with intussusception when occurring in association with vomiting, melena, or a palpable abdominal mass, or all three.
(10) One patient had three days of melena and responded to non-operative therapy.
(11) Epistaxis was diagnosed in 10 patients with apparent upper gastrointestinal bleeding, comprising a 0.55% incidence of hematemesis and melena in the population studied.
(12) In 1986, she had a history of melena and prolonged bleeding after dental extraction.
(13) After the operation, she developed ascites and watery diarrhea, though there was no episode of hematemesis and melena.
(14) A 50-year-old woman was admitted on Feb. 25, 1983, complaining of hematemesis and melena.
(15) An 82-year-old woman presented with extensive hematomas and melena associated with markedly decreased plasma factor V coagulant activity (FV:C).
(16) The diagnosis of a bleeding Meckel's diverticulum was made by angiography in a 71 year old man who presented with melena and hemorrhagic shock.
(17) Hematemesis, melena, shock, vague symptoms, anemia, blood examinations and endoscopic findings are reviewed as signs of recent hemorrhage.
(18) Simultaneously with the hypogastric pain, hypotension, growing circumference of the abdomen and increasing anaemia--without hematemesis or melena--referred to intraabdominal hemorrhage, which was confirmed by diagnostic paracentesis.
(19) We reported a 44 year old man with micronodular cirrhosis who eventually died from massive hematemesis and melena.
(20) Histamine H2 antagonists are widely used in treating patients with hematemesis and melena, despite the lack of reliable evidence of benefit from any of the randomized trials, considered separately.