Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

This is a potentially life threatening problem. We need to move now.

• Get an IV started for fluids.
• Get him typed and cross matched for packed RBCs. Having three units ready would be a good idea.
• Get your friendly GI doc on the line because this guy needs gastroscopy.

While this stuff is underway, let's look back at our differential diagnosis (list of possibilities).