SAQ9 – Gastro – 40 year old alcoholic with Massive haemtemesis

Marked out of 13.00

A 62 year old woman presents to the emergency department with massive haematemesis. She has a history of alcohol dependence.

Her vital signs on presentation are:

  • HR 150 bpm
  • RR 16 /min
  • BP 70 mmHg
  • Temp 37 °C
  • GCS 15

a. List four (4) MOST LIKELY differential diagnoses for the cause of her bleeding.

(Marked out of 4.0)


/ 4

b. List three (3) indications for urgent (< 1 hour) gastroscopy.

(Marked out of 3.0)


/ 3

c. Other than endoscopy, list three (3) steps in the management of her haemodynamic state. List one (1) detail for each step.

(Marked out of 6.0)


/ 6


Total Score: 0 / 13

Percentage: 0%