Exam PCCN Topic 1 Question 449 Discussion
Actual exam question for AACN's PCCN exam
Question #: 449
Topic #: 1
Question #: 449
Topic #: 1
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?
Suggested Answer: A Vote an answer
Explanation: 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.
by Todd at Mar 03, 2024, 04:15 PM
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