The Blatchford score, or Glasgow-Blatchford, is used to stratify the risk of rebleeding and the need for intervention in the context of upper gastrointestinal bleeding. The score is between 0 and 23. Patients with a score of 0 are defined as having a low risk of bleeding.
Hematemesis is the rejection of blood of digestive origin by the mouth, most often during vomiting.
The causes of gastrointestinal bleeding are numerous:
Hemorrhage by rupture of esophageal varices: the questioning of the patient or his entourage makes it possible to find the notion of a former alcoholism and the biological examinations find an alteration in the function of the liver. Esophageal varices are a pathology observed in cirrhotic subjects;
Peptic ulcer: the interrogation finds a history of stomach pain subsided by meals;
Gastro-toxic drugs (some drugs are toxic to the stomach: aspirin and other anti-inflammatories);
Other causes are rarer: Mallory-Weiss syndrome, hiatal hernias, benign or malignant tumours.
It should be noted that these causes can of course be associated in the same patient.