Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

These are the more likely posibilites. Gastritis and ulcer are certainly sources of pain and bleeding, however, carcinoma is not as likely to casue the kind of pain Mr. Jones complains of.

Serious and potentially threatening hemorrhage is most likley from an ulcer, especially if it has eroded into wall of the of stomach or duodenum.

As before, gastroscopy is what's needed. 

• Congenital abnormality such as an esophageal or gastric diverticulum or vascular malformation.
• Esophageal varices.
• Esophagitis