KROK 1 2016 – Question 60 · KROK (Medicine) · Pathomorphology
A 42-year-old patient complains of pain in the epigastral area, vomiting; vomit masses have the color of coffee-grounds; the patient suffers from melena. Anamnesis records gastric ulcer disease. Blood formula: erythrocytes - 2,8 · 10¹²/l, leukocytes 8 · 10⁹/l, Hb- 90 g/l. What complication is it?
- A. Penetration
- B. Pyloric stenosis
- C. Canceration
- D. Perforation
- E. Hemorrhage
Hint
Ask what coffee-ground vomit and melena tell you has happened to blood in the digestive tract, and how the fall in red cells and Hb supports it.
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