Vomiting blood

Instructions

You are an intern in the emergency department. Your next patient is Danilo Lacson, 52, who has vomited a large amount of fresh blood twice in the last hour at home. The paramedics have just brought him in.

1. 1

   Assess and manage Danilo using an A to E approach

2. 2

   Outline to the examiner:

   • Your most likely diagnosis
   • Next steps in management, including relevant investigations

• The examiner acts as the nurse and carries out your instructions; describe procedures rather than performing them
• You do not need to take a full history
• You do not need to summarise your findings