Diffuse bleeding from the gastric mucosa is regarded as a relatively unimportant phenomenon and is rarely, if ever, considered in the bedside diagnosis of patients afflicted with hematemesis. When the patient vomits blood, the differential diagnosis, as a rule, takes into consideration the following possibilities:
The Most Common Causes of Gastric Hemorrhage
Subacute and progressive
Infections—Acute or Chronic (May cause either a local ulcer or a diffuse gastritis):
Intra-abdominal (colitis, enteritis, gastritis)
disease of the biliary tract
Disease of the upper respiratory tract
thromboses or emboli
rectum and anus (especially)
From ingestion of poisons, as chloride, iodine, lye, etc.
BORTZ EL. DIFFUSE HEMORRHAGE FROM THE STOMACH. Arch Intern Med (Chic). 1932;50(1):1–26. doi:10.1001/archinte.1932.00150140008001
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