A 60 year old male had a sudden fall in toilet. His BP was 90/50 mm Hg and pulse was 100/mm. His relatives repoed that his stool was black/dark in colour. Fuher careful history revealed that he is a known case of hypeension and coronary aery disease and was regularly taking aspirin, atenolol and sorbitrate. The most likely diagnosis is:
Correct Answer: Gastric ulcer with bleeding
Description: Ans. a. Gastric ulcer with bleeding In the given question, the 60-year old patient is presenting with black stool (melena) due to G.I. blood loss, history o aspirin use. So the diagnosis is most probably NSAID induced peptic ulcer disease. "GI bleeding is the most common complication observed in PUD. It occurs in -15% of patients and more often in individuals >60 years of age. The moality rate is as high as 5-10%. The higher incidence in the elderly is likely due to the increased use of NSAIDs in this group. Up to 20% of patients with ulcer-related hemorrhage bleed without any preceding warning signs or symptoms."- Harrison 18/e p2444
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now