A young man presented to medical OPD with a history of abdominal pain and distension, hematemesis, and bloody and tarry stools. On examination, he was having hypotension with tachycardia, and was urgently referred to medical emergency. He gives a history of NSAID intake for the last 3 weeks. What is the likely diagnosis?
  1. Peptic ulcer, NSAID induced
  2. Gastroesophageal reflux
  3. Chronic liver disease
  4. None of the above
Explanation
Answer: A - The likely diagnosis for a young man with a history of abdominal pain and distension, hematemesis, and bloody and tarry stools, and currently having hypotension with tachycardia, is NSAID induced gastropathy, or peptic ulcer. With peptic ulcers, there is pain in the abdomen in the epigastrium, there is bloody vomiting and black colored stools.
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