Question

A patient comes to the ER and complains of abdominal pain, nausea and vomiting with "coffee ground emesis." The patient admits to taking ibuprofen regularly for arthritis. What is the likely diagnosis?

a Cholecystitis (NOT THIS ONE)

b Celiac sprue

c Crohn's disease

d Upper GI bleed secondary to peptic ulcer disease.

Answer 1

The likely diagnosis for a patient with abdominal pain, nausea, vomiting, and coffee ground emesis who regularly takes ibuprofen is an upper GI bleed secondary to peptic ulcer disease. The correct answer is options D.

Step-by-step explanation:

A patient presenting with abdominal pain, nausea, and vomiting, particularly coffee ground emesis, along with a history of regular ibuprofen use for arthritis, is likely dealing with an upper GI bleed secondary to peptic ulcer disease. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID), and excessive or long-term use of NSAIDs is known to increase the risk of gastrointestinal ulcers and bleeds. The symptoms of coffee ground emesis suggest that the blood has been in the stomach for some time, which usually indicates an upper GI source of bleeding.