Dilemma
Dilemma
A 53 year-old man was transferred from an outside hospital where he had been admitted 6 hours earlier because of hematemesis and melena
• A 53 year-old man was transferred from an outside hospital where he had been admitted 6 hours earlier because of hematemesis and melena
Despite transfusion of 6 units of pack red blood cells,his hemoglobin had fallen to 8.8 g/dl. On arrival he was alert and oriented. He denied pain or other problems
• Despite transfusion of 6 units of pack red blood cells, his hemoglobin had fallen to 8.8 g/dl. • On arrival he was alert and oriented. • He denied pain or other problems
He had a remote history of alcohol abuse,but had stopped drinking alcoholic beverages several years ago.He was not taking medication and had not used non-steroidal anti-inflammatory drugs
• He had a remote history of alcohol abuse, but had stopped drinking alcoholic beverages several years ago. He was not taking medication and had not used non-steroidal anti-inflammatory drugs
The physical examination demonstrated pallor,hypotension and tachycardia. There were no stigmata of chronic liver disease
• The physical examination demonstrated pallor, hypotension and tachycardia. • There were no stigmata of chronic liver disease