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March 21, 1966

Gastrointestinal Bleeding and Arthropathy

JAMA. 1966;195(12):1048-1050. doi:10.1001/jama.1966.03100120116032
Abstract

Dr. Frank J. Gallia: This 51-year-old man entered the hospital with a history of epigastric pain, dark stools for several weeks, and a one-week history of vomiting small amounts of dark red blood. His history included a generous alcoholic intake and a recent 25-lb (11.4 kg) weight loss. He had recently had incision of a painful right shoulder; a culture of the fluid revealed both staphylococcus and streptococcus. Physical examination revealed a febrile, thin man with a grayish hue to his skin. There were dark deposits on the sclerae of both eyes.

Laboratory data included a hematocrit value of 18%; amylase, 48 units/ml; prothrombin time, 50%; ammonia, 100μg/100 cc; blood urea nitrogen (BUN), 9 mg/100 cc; creatinine, 0.6 mg/100 cc. An upper-gastrointestinal-tract series was done.

Discussion  Dr. Laurence L. Robbins: Dr. Tomchik, do you want to make any comment?Dr. Frederick S. Tomchik: The proximal stomach does not seem to

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