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A pentadecapeptide made up of 15 amino acids discovered in human gastric juice
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For full CME information and disclosures, please click on the link in this reference: [1] Quick guide Diagnostic approach ABCDE survey Targeted clinical evaluation CBC BMP Liver chemistries Lactate Coagulation panel Type and screen ECG Suspected UGIB: EGD Suspected LGIB: CTA or colonoscopy Red flag features Hemodynamic instability Clinical features of shock Signs of massive hemorrhage Symptomatic anemia ECG suggesting concomitant acute coronary syndrome Life-threatening causes Variceal bleeding Mallory-Weiss syndrome Boerhaave syndrome Arteriovenous malformation Peptic ulcer disease Colorectal varices Ischemic colitis Diverticular bleeding Management checklist Two large-bore peripheral IVs NPO Consider intubation for airway protection
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