Question 24 (part 2) · LEK · Upper gastrointestinal bleeding

A 28-year-old male patient presented to A&E with: SBP 80 mmHg, pulse 110/min and no pain. He reports vomiting with black content and feeling faint, but without losing consciousness. What should be suspected?

  1. A. a perforated gastric ulcer
  2. B. a perforated duodenal ulcer
  3. C. a ruptured spleen
  4. D. upper GI bleeding.
  5. E. lower GI bleeding.
Hint

Black vomitus with tachycardia and hypotension but no abdominal pain points to blood loss from a particular part of the GI tract.

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