with coffee grounds vomit and melena during the previous 48 hours. He had been subject to a major abdominal surgery with splenectomy at age of 38, after a traumatic injury. Regular medication was low-dose acetylsalicylic acid. On physical examination: blood pressure was 100/73 mmHg; heart rate 74 bpm; cardiac-pulmonary auscultation was normal and abdomen was tender and painless; rectal examinat...

BACKGROUND Upper GI bleeding (UGIB) is a potentially life threatening gastrointestinal emergency whose effective management depends on early risk stratification. METHODS We retrospectively studied 151 patients admitted to our unit with UGIB between 1st January 2007 and 31st December 2011 and in whom we calculated the clinical and complete Rockall, the Glasgow-Blatchford and modified Glasgow-B...

a 48-year-old male patient presented to the emergency department with the complaints of epigastric pain and melena for the past 3 days. the pain was started suddenly and has progressed and after a while, he passed melena stool. he also mentioned some episodes of vomiting that was not bloody. the pain score was about 8/10 (based on verbal quantitative scale) and slightly radiated to back. he loo...

A 20-year-old man arrived at the emergency department with a 1-day history of melena and one episode of lipothymia. He had nomedical history andwas not taking any medication. Significant findings on physical examination included an arterial blood pressure of 90/40mmHg, paleness of his mucosae and skin, and melena on rectal digital examination. Laboratory analysis revealed normocytic normochromi...