Leaky

Gastrointestinal System


0

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/S5_F1.jpg"}},{"insert":"\n\n"},{"insert":"Your shift at the ER has been anything but peaceful. So far, you\u0027ve had to deal with a stab injury to the abdomen, two victims of the same car crash, and a tension pneumothorax.\n\nAnd it\u0027s not even mid day yet .....\n\nAnother patient is brought in, and you walk up to assess him.\n"}]}

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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/S5_F2.jpg"}},{"insert":"\n\n"},{"insert":"Mr. Jacobs is a 68 year-old retired construction worker.\n\nHe vomited up a small quantity of bright red blood, around one hour ago. This is his first episode of hematemesis.\n\nHe also complains of intermittent abdominal pain and malena for the last 2 weeks.\n\nMr Jacobs underwent stenting of a stenosed left anterior descending coronary artery around one and a half years back, following an episode of unstable angina.\n\nHe is currently on low-dose Aspirin therapy.\n\nHe drinks regularly, consuming between 1 to 2 pints of beer almost every weekday night, and a \u0022lot more\u0022 on weekends.\n"}]}

2

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/S5_F3.jpg"}},{"insert":"\n\n"},{"insert":"You examine Mr. Jacobs and find him to be pale, with a blood pressure of 110\/80 mmHg, and a pulse rate of 102 bpm.\n\nHis full blood count shows a hemoglobin level of 5.0 g\/dL and a platelet count of 40,000 \/mm3.\n\nAs you conclude your examination, he experiences another bout of hematemesis.\n\nYou realize that a transfusion is indicated ....\n"}]}

3

{"ops":[{"insert":"What do you transfuse?\n"}]}
1. Packed red blood cells only
2. Packed red blood cells and platelets

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