CAUTION: THESE NOTES CONTAIN SPOILERS!!!

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)