Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

A remote possibility. It is unlikely that this guy would make it to 50 with out some symptom in the past history supporting this diagnosis.

Besides, if we can get him talked into a gastroscopy, we'll know if this is the situation.

• Esophageal varices.
• Gastric or duodenal ulcer.
• Gastric carcinoma.
• Esophagitis
• Gastritis