KROK 1 2012 – Question 92 · KROK (Medicine) · Pathomorphology
A 42 year old patient complains of pain in the epigastral area, vomiting; vomit masses have the colour of "coffee-grounds", the patient has also melena. Anamnesis records gastric ulcer. Blood formula: erythrocytes - 2,8 · 10¹²/l, leukocytes - 8 · 10⁹/l, Hb- 90 g/l. What complication is it?
- A. Perforation
- B. Penetration
- C. Pyloric stenosis
- D. Canceration
- E. Haemorrhage
Hint
Ask what coffee-ground vomit and tarry stool say about blood in the stomach, and what the falling erythrocyte count and haemoglobin add.
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