Alcoholic patient bleeding mcq step 1? - palmar erythema pictures
Intermittently at the age of 51, with a long history of alcohol abuse is, went to the emergency room with cases of gastrointestinal bleeding higher. The patient said that he believed was food poisoning and vomiting all day. He was surprised when she started to vomit "cup full of blood. Although he was trying to reduce their consumption of alcohol successful. On physical examination, the patient with normal blood pressure, tachycardia, and drowsiness will. It is well nourished, very anxious men showed no signs of external trauma. Blood tests include complete blood count, tests of liver and pancreatic enzymes were all within normal limits. search for occult blood is negative. There is no palmar erythema or the head of Medusa seen. An X-ray film areThe breast is normal. Which of the following statements is the most likely cause of the bleeding from this man?
A. Boerhaave syndrome
B. Dieulafoy lesion
C. Esophageal varices
D. Mallory-Weiss
E. ulcer
I was not sure what AB and D so I opted for C, since the PUD was presented with a few changes in the normal CBC.
Friday, February 12, 2010
Palmar Erythema Pictures Alcoholic Patient Bleeding Mcq Step 1?
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2 comments:
Clint is right. A Mallory-Weiss tear occurs in the gastroesophageal junction after prolonged vomiting or particularly strong.
Thank you for your question.
Vignette is a classic of Mallory-Weiss. (Option D)
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