A 41-year-old man had a history of drinking 1-2 liters of whisky/day for the last 20 years. He had many episodes of nausea and vomiting during the previous five years. He reported a bout of prolonged vomiting, followed by massive hematemesis. On physical examination, his vital signs were: Temperature: 36.9°C, Pulse rate: 110/min, Respiratory rate: 26/min, and BP: 80/40 mm Hg.
His heart had a regular rate and rhythm with no murmurs, and his lungs were clear to auscultation. There was no abdominal tenderness or distension, and bowel sounds were present. His stool was negative for occult blood. Source: Medical Library
