Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 14: A Surprising Cause Forbleeding Gastric Varices (continued)

Anurag Maheshwari, MD

A 64-year-old man was referred for the evaluation of GI bleeding. He presented to the emergency room at a local hospital for complaints of dyspnea on exertion, diaphoresis, and near syncope. He reported “tarry” black stool for 4 days prior to admission. He denied abdominal pain but experienced a 12-lb weight loss in the past 3 months. Past medical history was remarkable for migraine headaches and hypertension; there was no history of liver disease. His medication regimen consisted of aspirin 325 mg daily, metoprolol 75 mg daily, and 2 tablets of over-the-counter migraine pills…