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	<title>Comments on: Rapid Diagnosis: Vomiting Blood</title>
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	<link>http://theemtspot.com/2009/03/14/rapid-diagnosis-vomiting-blood/</link>
	<description>Medicine Moves Fast ... Keep Up.</description>
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		<title>By: Laurie</title>
		<link>http://theemtspot.com/2009/03/14/rapid-diagnosis-vomiting-blood/comment-page-1/#comment-3999</link>
		<dc:creator>Laurie</dc:creator>
		<pubDate>Mon, 30 Aug 2010 16:19:42 +0000</pubDate>
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		<description>There is another cause for esophegal varices other than alcoholic cirrhosis, and that is primary biliary cirrhosis, an autoimmune disease. 90% afflicted are middle-aged or older women. Primary because not secondary, biliary because the bile ducts are being destroyed, cirrhosis because that is the end result. Esophageal varices resulting from portal hypertension are one of the most feared (prior to liver failure) co-conditions by patients with PBC. So if you pick up a middle aged woman with esophageal varices who tells you she doesn&#039;t drink, she may well have PBC, whether she knows it yet or not.</description>
		<content:encoded><![CDATA[<p>There is another cause for esophegal varices other than alcoholic cirrhosis, and that is primary biliary cirrhosis, an autoimmune disease. 90% afflicted are middle-aged or older women. Primary because not secondary, biliary because the bile ducts are being destroyed, cirrhosis because that is the end result. Esophageal varices resulting from portal hypertension are one of the most feared (prior to liver failure) co-conditions by patients with PBC. So if you pick up a middle aged woman with esophageal varices who tells you she doesn&#8217;t drink, she may well have PBC, whether she knows it yet or not.</p>
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		<title>By: The EMT Spot &#187; Assessment and Scope of Practice</title>
		<link>http://theemtspot.com/2009/03/14/rapid-diagnosis-vomiting-blood/comment-page-1/#comment-3483</link>
		<dc:creator>The EMT Spot &#187; Assessment and Scope of Practice</dc:creator>
		<pubDate>Mon, 12 Apr 2010 12:31:39 +0000</pubDate>
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		<description>[...] Rapid Diagnosis: Vomiting Blood [...]</description>
		<content:encoded><![CDATA[<p>[...] Rapid Diagnosis: Vomiting Blood [...]</p>
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		<title>By: Tom</title>
		<link>http://theemtspot.com/2009/03/14/rapid-diagnosis-vomiting-blood/comment-page-1/#comment-3455</link>
		<dc:creator>Tom</dc:creator>
		<pubDate>Mon, 05 Apr 2010 23:16:45 +0000</pubDate>
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		<description>What about pulmonary embolism?  Did you eliminate that based on the fact that we&#039;re seeing straight up blood and not sputum?</description>
		<content:encoded><![CDATA[<p>What about pulmonary embolism?  Did you eliminate that based on the fact that we&#8217;re seeing straight up blood and not sputum?</p>
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	<item>
		<title>By: Brianna</title>
		<link>http://theemtspot.com/2009/03/14/rapid-diagnosis-vomiting-blood/comment-page-1/#comment-3101</link>
		<dc:creator>Brianna</dc:creator>
		<pubDate>Fri, 05 Feb 2010 18:24:54 +0000</pubDate>
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		<description>Thanks for that post :)</description>
		<content:encoded><![CDATA[<p>Thanks for that post <img src='http://theemtspot.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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