Practice Quiz

PCCN Progressive Care Certified Nursing

Category - PCCN

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A known case of alcoholic cirrhosis presented in the A & E department with profuse hematemesis. On examination, he was having tachycardia and hypotension. IV fluids were immediately started. What cause of hematemesis comes to mind?
  1. Esophageal varices
  2. Peptic ulcer
  3. Both of the above
  4. None of the above
Explanation
Answer: A - The cause of hematemesis in an individual with alcoholic cirrhosis who also has tachycardia and hypotension is bleeding esophageal varices. These are developed in liver cirrhosis because of an obstructed portal vein due to the cirrhosis. Collaterals are developed which run in the esophageal or gastric mucosa and they bleed when ruptured.
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