GI Emergencies: A Quick Reference Guide

Robert C. Lowe, MD; Francis A. Farraye, MD, MSc

Chapter 1: Nonvariceal Upper Gastrointestinal Hemorrhage (continued)

Pushpak Taunk, MD; Marcos C. Pedrosa, MD

You receive the following call from the emergency department (ED): We’ve got a 65-year-old woman with a past medical history of diabetes, hypertension, coronary artery disease (CAD), and rheumatoid arthritis who came in complaining of 3 days of black stools. Upon arriving to the ED, she also notes that today she has felt weak, light-headed, and dizzy. On exam, her blood pressure (BP) is 115/75, and her heart rate (HR) is 115. •Upper GI bleeding (UGIB) is associated with a mortality that is considered to be in the 5% to 10% range—proceed with urgency!1,