A 28 year old woman presents with dizziness, lightheadedness, and mild exertional dyspnea for two days. She also experienced an episode of coffee ground vomitus and melena earlier today. She does not smoke or drink, is not on any drugs, and has an unremarkable medical history.
WBC/DC: 7,200/mm3 Hb: 4.3 g/dL Platelets: 280,000/mm3
The esophagus appears normal. There is an active, pulsatile bleeding point in the gastric fundus. No ulcers are seen in the stomach or duodenum.
Urea: 56 mg/dl (0 - 50) S. Creatinine: 0.5 mg/dl (< 1.5) Urea:Creatinine Ratio: 112 (<100)
No colonic lesions are identified.