Snapshot A 54-year-old man with a history of alcoholism presents to the emergency room with hematemesis. He has a known history of esophageal and gastric varices and has been on beta-blockers to prevent bleeding. On physical exam, he is hypotensive and tachycardic. He has hepatosplenomegaly, ascites, and spider angiomata. He is started on a proton pump inhibitor as well as octreotide. He continues to vomit bright red blood. He is taken urgently for an EGD which showed bleeding from dilated esophageal veins, which is treated with sclerotherapy with good success. He is admitted to the ICU for further monitoring. Introduction Overview login to view 2 more bullets Associated conditions login to view 6 more bullets Epidemiology Incidence login to view 1 more bullet Risk factors login to view 7 more bullets ETIOLOGY Pathogenesis login to view 5 more bullets Presentation Symptoms login to view 6 more bullets Physical exam login to view 8 more bullets IMAGING Esophagogastroduodenoscopy (EGD) login to view 5 more bullets Studies Serum labs login to view 2 more bullets Differential Peptic ulcer disease login to view 2 more bullets Treatment Medical login to view 29 more bullets Surgical login to view 12 more bullets Complications Variceal bleeding Hepatic encephalopathy Hepatorenal syndrome