Hematemesis and tarry stools are clinical signs of which serious potential complications of cirrhosis? TROINTESTINAL DISORDERSSURG• S/P appendectomy requiring blood transfusions 30 years ago• S/P open-reduction internal fixation of right femur secondary to MVA 5 years agoFH• Father died at age 52 from liver disease of unknown etiology• Mother had rheumatoid arthritis and ulcerative colitis, died from massive stroke atage 66• Maternal aunt, age 71, with Graves disease• Patient has no siblingsSH• Educated through eighth grade• Department store men's clothing manager and salesman, 17-year careerMarried for 19 years with 1 daughter, age 10• H/O ethanol abuse, quit 5 years ago following MVA, previously drank 3 cases of beer/week x 15 years• H/O IVDA (heroin) and intranasal cocaine, quit 5 years ago• Has smoked approximately 1/2 ppd for many yearsMeds• Propranolol 10 mg po TIDSpironolactone 50 mg po QD• Furosemide 20 mg po QD• MVI 1 tablet po QD• Occasional ibuprofen or acetaminophen for headache• Patient has H/O non-compliance with his medicationsAllNKDAROSIncreasing abdominal girth• (-) complaints of abdominal pain, fever, chills, nausea, vomiting, hematemesis, tarrystools, loss of appetite, cough, chest pain, SOB, lightheadedness, weakness, blood in theurine, diarrhea, constipation, and dry mouthPatient Case Question 1. Hematemesis and tarry stools are clinical signs of which seri-ous potential complication of cirrhosis? For the Disease Summary for this case study,see the CD-ROM.PATIENT CASEPatient's Chief ComplaintsProvided by wife: "My husband's very confused and he has been acting strangely. This morn-ing, he couldn't answer my questions and seemed not to recognize me. I think that his stom-ach has been swelling up again, too. He stopped drinking four years ago, but his cirrhosisseems to be getting worse."HPIS.G. is a 46 yo white male with a history of chronic alcoholism and alcoholic cirrhosis. Hewas admitted to the hospital from the outpatient clinic with abdominal swelling and con-fusion. He has unintentionally gained 15 lbs during the past four weeks. According to hiswife, the patient has not been sleeping well for several weeks, has been feeling very lethar-gic for the past three days, can't seem to remember appointments lately, and, uncharac-teristically, has lost his temper with her several times in the last month. S.G.'s boss at workhad also telephoned her last week concerned about his "unusual and violent behavior onthe job."PMH• Pneumonia 9 years ago that resolved with antimicrobial therapy• Cirrhosis secondary to heavy alcohol use diagnosed 4 years ago with ultrasound and liverbiopsy (micronodular cirrhosis)• H/O uncontrolled ascites and peripheral edema• H/O two upper GI hemorrhages from esophageal varices• H/O anemia• H/O E. coli-induced bacterial peritonitis 4 years ago• H/O acute pancreatitis secondary to alcohol abuse• No history to suggest cardiac or gallbladder disease• No previous diagnosis of viral or autoimmune hepatitis

Question

Hematemesis and tarry stools are clinical signs of which serious potential complications of cirrhosis? TROINTESTINAL DISORDERSSURG• S/P appendectomy requiring blood transfusions 30 years ago• S/P open-reduction internal fixation of right femur secondary to MVA 5 years agoFH• Father died at age 52 from liver disease of unknown etiology• Mother had rheumatoid arthritis and ulcerative colitis, died from massive stroke atage 66• Maternal aunt, age 71, with Graves disease• Patient has no siblingsSH• Educated through eighth grade• Department store men's clothing manager and salesman, 17-year careerMarried for 19 years with 1 daughter, age 10• H/O ethanol abuse, quit 5 years ago following MVA, previously drank 3 cases of beer/week x 15 years• H/O IVDA (heroin) and intranasal cocaine, quit 5 years ago• Has smoked approximately 1/2 ppd for many yearsMeds• Propranolol 10 mg po TIDSpironolactone 50 mg po QD• Furosemide 20 mg po QD• MVI 1 tablet po QD• Occasional ibuprofen or acetaminophen for headache• Patient has H/O non-compliance with his medicationsAllNKDAROSIncreasing abdominal girth• (-) complaints of abdominal pain, fever, chills, nausea, vomiting, hematemesis, tarrystools, loss of appetite, cough, chest pain, SOB, lightheadedness, weakness, blood in theurine, diarrhea, constipation, and dry mouthPatient Case Question 1. Hematemesis and tarry stools are clinical signs of which seri-ous potential complication of cirrhosis? For the Disease Summary for this case study,see the CD-ROM.PATIENT CASEPatient's Chief ComplaintsProvided by wife: &#34;My husband's very confused and he has been acting strangely. This morn-ing, he couldn't answer my questions and seemed not to recognize me. I think that his stom-ach has been swelling up again, too. He stopped drinking four years ago, but his cirrhosisseems to be getting worse.&#34;HPIS.G. is a 46 yo white male with a history of chronic alcoholism and alcoholic cirrhosis. Hewas admitted to the hospital from the outpatient clinic with abdominal swelling and con-fusion. He has unintentionally gained 15 lbs during the past four weeks. According to hiswife, the patient has not been sleeping well for several weeks, has been feeling very lethar-gic for the past three days, can't seem to remember appointments lately, and, uncharac-teristically, has lost his temper with her several times in the last month. S.G.'s boss at workhad also telephoned her last week concerned about his &#34;unusual and violent behavior onthe job.&#34;PMH• Pneumonia 9 years ago that resolved with antimicrobial therapy• Cirrhosis secondary to heavy alcohol use diagnosed 4 years ago with ultrasound and liverbiopsy (micronodular cirrhosis)• H/O uncontrolled ascites and peripheral edema• H/O two upper GI hemorrhages from esophageal varices• H/O anemia• H/O E. coli-induced bacterial peritonitis 4 years ago• H/O acute pancreatitis secondary to alcohol abuse• No history to suggest cardiac or gallbladder disease• No previous diagnosis of viral or autoimmune hepatitis

Accepted Answer

In this question asked about the complications of the cirrhosis of the liver. 
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