A 62-year-old man presents with esophageal bleeding at the clinic. Patient history Severe alcoholic addiction Tried several self-help programs with little success. He has been hospitalized on several occasions over the years. Suffers severe tremor in his hands First Hospitalization Aged 32, a complaint of vomiting up blood after a drinking binge that lasted seven days, marked by excessive and repeated vomiting episodes. The vomitus was bright red.
The hospital chart lists a diagnosis of "Upper GI bleed" due to a Mallory-Weiss tear. Second Hospitalization Aged 36, complaints of abdominal pain in the upper epigastric region and "coffee-grounds" emesis. He also complained of heartburn which was partially relieved with antacids. A diagnosis of "upper GI bleed due to gastritis and reflux esophagitis" is noted in the chart. Third Hospitalization Aged 41, complaints of a high fever, nausea,…
