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Bloody Emesis

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Surgery

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Abstract

A 50-year-old male presents to the emergency department with a 3-hour history of bloody emesis. He has no such prior history. The vomiting was not preceded by retching. He states that the blood was bright red. He currently feels slightly dizzy. He has no history of alcohol abuse. He has noted intermittent epigastric pain for the past 2 weeks that is relieved by taking oral antacid pills. On review of systems, the patient notes that he injured his knee a month ago and has been taking ibuprofen daily for pain relief. Physical exam reveals a blood pressure of 100/60 mmHg and a heart rate of 110/minute. There are no signs of jaundice and the abdomen is flat. No hepatosplenomegaly, caput medusa, or spider veins are appreciated. Laboratory values reveal a hematocrit of 40%. Liver function tests are normal as are INR and PTT. BUN is 36 mg/dL and creatinine is 1.0 mg/dL.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of California, Irvine, Orange, CA, USA

    Areg Grigorian

  2. General Surgery, University of California, Irvine, Orange, CA, USA

    Viktor Gabriel

  3. Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA

    Christian de Virgilio

  4. College of Applied Anatomy, Department of Surgery, UCLA School of Medicine, Los Angeles, CA, USA

    Christian de Virgilio

  5. Department of Surgery and General Surgery Residency Program, University of California Irvine Medical Center, Orange, CA, USA

    Brian R. Smith

Authors
  1. Areg Grigorian
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  2. Viktor Gabriel
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  3. Christian de Virgilio
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  4. Brian R. Smith
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Corresponding author

Correspondence to Areg Grigorian .

Editor information

Editors and Affiliations

  1. Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA

    Christian de Virgilio

  2. Department of Surgery, Suite 1600, University of California, Ivine, Orange, CA, USA

    Areg Grigorian

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Grigorian, A., Gabriel, V., de Virgilio, C., Smith, B.R. (2020). Bloody Emesis. In: de Virgilio, C., Grigorian, A. (eds) Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05387-1_49

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  • DOI: https://doi.org/10.1007/978-3-030-05387-1_49

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05386-4

  • Online ISBN: 978-3-030-05387-1

  • eBook Packages: MedicineMedicine (R0)

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