Questions and Answers
What condition is indicated by the presence of profuse haematemesis in the patient?
What is the most likely cause of the cardiovascular instability observed in the patient?
Which artery is most commonly associated with gastrointestinal bleeding from a duodenal ulcer?
What other complication might arise from a duodenal ulcer if left untreated?
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Which physiological parameters indicate the severity of the patient's condition upon admission?
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Study Notes
Patient Presentation
- 54-year-old male presents with profuse haematemesis (vomiting blood).
- Vital signs upon admission:
- Temperature: 36.9ºC
- Oxygen saturation: 94% on room air
- Heart rate: 124 bpm (tachycardia)
- Respiratory rate: 26 breaths per minute (tachypnea)
- Blood pressure: 82/58 mmHg (hypotension)
Urgent Intervention
- Urgent endoscopy performed to control bleeding.
- An ulcer located on the posterior wall of the duodenum observed during the procedure.
Likely Source of Gastrointestinal Bleed
- The most probable arterial source of the gastrointestinal bleed is the gastroduodenal artery, given its supply to the duodenum and adjacent structures.
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Description
This quiz focuses on a clinical case involving a 54-year-old man presenting with gastrointestinal bleeding due to a duodenal ulcer. Participants will assess the potential origins of the bleed, particularly emphasizing vascular anatomy. Ideal for medical students and professionals studying gastrointestinal pathologies.
