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A 41-year-old man has a history of drinking 1 to 2 liters of whisky per day for the past 20 years. He has had numerous episodes of nausea and vomiting in the past 5 years. He now experiences a bout of prolonged vomiting, followed by massive hematemesis. On physical examination his vital signs are: T 36.9°C, P 110/min, RR 26/min, and BP 80/40 mm Hg lying down. His heart has a regular rate and rhythm with no murmurs and his lungs are clear to auscultation. There is no abdominal tenderness or distension and bowel sounds are present. His stool is negative for occult blood. Which of the following is the most likely diagnosis?
A Hiatal hernia
B Esophageal laceration
C Esophageal pulsion diverticulum
D Barrett esophagus
E Esophageal squamous cell carcinoma
F Esophageal stricture
Source: Med Utah
14/12/2022
https://www.youtube.com/watch?v=IGG9FkTxQdk
Watch Live: The EM Boot Camp Course in Las Vegas Welcome to the live stream of the EM Boot Camp course being held live in Las Vegas.To purchase and receive CME credit for this course, go to https://courses....
14/12/2022
https://www.youtube.com/watch?v=m1L85w9ODs8
Watch Live: The EM Boot Camp Course in Las Vegas - Day 2 Welcome to the live stream of the EM Boot Camp course being held live in Las Vegas.To purchase and receive CME credit for this course, go to https://courses....
