A 5-year-old child underwent an adenotonsillectomy operation. On discharge from the recovery room, the child was conscious, blood pressure 110/80, pulse rate 100/min and the respiratory rate 16/min. Four hours later, the nurse reported to the resident that the pulse rate became 140/min, blood pressure 100/70 and the child vomited 150 cc of blood.

What could be the possible reason behind this response? What further investigations and treatment would you recommend for this patient? *This case is from the Docplexus Editorial Team and is for educative purpose only.