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Figure 1. A 47-year-old woman with a history of hypertension and alcohol abuse had had fatigue, nausea, vomiting, and abdominal pain for two days. On admission, she vomited coffee-grounds material. The blood pressure, measured while she was upright, was 80/50 mm Hg. Examination revealed no fever or lesions of the mouth. The patient had epigastric tenderness, but the bowel sounds were normal and there was no rebound tenderness. The serum amylase level was 244 U per liter, the serum lipase level was 5922 calcium level was 3.1 mmol per liter, and the serum bicarbonate level was 19 mmol per liter. Treatment with . . . [Full Text of this Article] |
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