Case Introduction

You are working at your local hospital when the next chart gets put in your rack. You groan. The chief complaint is dizziness..

Initial Vitals

  • Temp 98.6
  • HR 109
  • RR 20
  • BP 105/69
  • O2 100%

Critical Actions

  • Diagnose Upper GI Bleed
  • Initiate IV Proton Pump Inhibitor
  • Obtain Type and Screen
  • Admit Patient to the Hospital
  • Identify Medications That Increase Risk of Ulcer (If Prompted)

Final Diagnosis

Upper GI Bleed due to Peptic Ulcer

Tips and Tricks

If you get stuck in a case and don’t know what to do next. Identify all abnormal findings that you have been provided

Additional Reading

  • Why You Should Never Ask “What Do You Mean By Dizzy?” (PubMed)