Vomiting Blood

Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with acute hematemesis, a medical emergency with a high morbidity and mortality.\n\nThe first priority is to stabilize him. This includes assessing the airway, obtaining adequate peripheral venous access followed by adequate resuscitation and close monitoring of vital parameters.\n\nSeveral key investigations should be obtained in parallel, including a complete blood count (CBC), liver profile and coagulation profile.\n\nWhile the CBC shows a hemoglobin of 10.2 g\/dL, this value does not necessarily reflect the severity of the acute bleeding; his vital signs are a far more reliable indicator of his hemodynamic status.\n\nThus, as he is currently stable, therapy with intravenous crystalloids is sufficient; transfusion is no"}]}

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