Possibilities
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

This is just a short differential list, I'll bet yours is more impressive. Before continuing,  consider each possibility.
  • Congenital abnormality such as an esophageal or gastric diverticulum or vascular malformation.
  • Esophageal varices.
  • Gastric or duodenal ulcer.
  • Gastric carcinoma.
  • Esophagitis
  • Gastritis
What's the next move? Do we have an emergency on our hands or can we kick back for the afternoon and deal with it tomorrow?
 

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