Case history
Case history
A 55-year-old man presents with several episodes of haematemesis in the past 24 hours. He has a history of alcoholic cirrhosis and is being treated for ascites with diuretics and for encephalopathy with lactulose. Currently he is confused and unable to give a complete history. His vital signs include a pulse of 85 bpm and blood pressure of 84/62 mmHg. He is noted to have jaundice, splenomegaly, and multiple spider angiomas.
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