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ESOPHAGUS, STOMACH, AND DUODENUM
Case #5 -
A 65 year old with hematemesis

DISCUSSION QUESTIONS:
1.) What additional history and physical findings do you need?  Answer 
2.) What is the initial management of this patient?  Answer 
3.) What is the role of nasogastric tube placement and lavage?  Answer 
4.) What are the various causes or sources of upper GI bleeding?  Answer 
5.) After initial resuscitation and placement of NG tube, what is the next step in management?  Answer 
6.) If a peptic ulcer is found to be the source of bleeding, what are the endoscopic findings that indicate higher risk of rebleeding?  Answer 
7.) If the source is a bleeding peptic ulcer and bleeding stops, what is the further management?  Answer 
8.) What are the indications for operation?  Answer 
9.) What are the surgical options?   Answer 
 
  The Virtual Patient > Case List > ESOPHAGUS, STOMACH, AND DUODENUM - Case # 5