Bleeding Ulcer and Shock
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

It certainly looks like surgery is in store for Mr. Jones. 
  • We must address his shock as best we can while getting ready for surgery.
  • Fluids and packed RBCs.
  • Elevate his feet.
  • Nasogastric tube to remove the blood from his stomach.
All we need now is
  • A surgeon
  • Anesthesiologist
  • Operating room staff
At 5:30 in the morning, Mr. Jones heads to surgery for a partial gastrectomy.
 

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