| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Mr.
Jones is in obvious acute distress.
-
Severe abdominal pain
-
Continued melanotic stools
-
His blood pressure is now 110/68
mmHg
-
His hemoglobin has dropped to
7.4 g/dl
-
He claims he has taken his medications
as directed.
-
When asked about aspirin, he
emphatically denies any use and volunteers he threw out what remained of
the bottle.
-
He now uses Bufferin for his
arthritis.
-
You learn his son is a lawyer.
More packed cells are administered
and he is admitted for the second time. He looks stable, his pain is diminished
and you go home for the night.
-
At 3 AM the phone rings.
-
Mr. Jones has begun to vomit
bright red blood.
-
His blood pressure is falling.
-
And he is diaphoretic.
What
now? |
|