3.3 of 12 Ratings
A 75-year-old male presents with a 1-month history of severe abdominal and epigastric pain. He states that his pain improves with meals but worsens approximately one hour after eating. He has a history of osteoarthritis, which he treats with NSAIDs; he has increased his dose for the past 3 months due to increased pain. Vital signs are stable and within normal limits. Endoscopy is performed, and the results are shown in Figure A. What is the most common complication of this patient's condition?
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A 53-year-old man presents to the emergency department with abdominal pain and hematemesis. The patient’s history is significant for osteoarthritis, for which he has been taking ibuprofen for several years. He states he has had epigastric abdominal pain during meals for several months but has never experienced pain like this. His temperature is 99.0°F (37.2°C), blood pressure is 144/94 mmHg, pulse is 110/min, respirations are 15/min, and oxygen saturation is 98% on room air. Physical exam reveals marked abdominal pain with rebound tenderness and involuntary guarding. A chest radiograph is performed as seen in Figure A. The patient is transferred to the operating room. While the patient is preparing for transport, which of the following treatments should be administered?
Octreotide, ceftriaxone, and metronidazole
Octreotide, pantoprazole, piperacillin-tazobactam, and vancomycin
Pantoprazole, metronidazole, and clindamycin
Pantoprazole, piperacillin-tazobactam, and vancomycin
Piperacillin-tazobactam and vancomycin