A 70-year-old man is mechanically ventilated in the Intensive Care Unit following massive cerebral hemorrhage. 7 days later, he developed coffee ground vomitus. Which of the follow... A 70-year-old man is mechanically ventilated in the Intensive Care Unit following massive cerebral hemorrhage. 7 days later, he developed coffee ground vomitus. Which of the following is the most likely cause? A. Stress gastritis B. Functional dyspepsia C. Helicobacter gastritis D. Gastroesophageal reflux
Understand the Problem
The question describes a 70-year-old man in an ICU who developed coffee ground vomiting after a massive cerebral hemorrhage. It asks which of the listed conditions is the most likely cause of this symptom.
Answer
Stress gastritis
The final answer is stress gastritis.
Answer for screen readers
The final answer is stress gastritis.
More Information
Critically ill patients, especially those on mechanical ventilation, are at high risk for stress-related mucosal disease, leading to stress gastritis and potential gastrointestinal bleeding.
Tips
Avoid misdiagnosing functional dyspepsia, which typically doesn't cause significant bleeding. Stress-induced gastritis is more likely in ICU settings.
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