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06 / General Surgery · clerkship

Melena and a falling pressure

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

Resus, 20 minutes in

He is pale and clammy. Three black, tarry stools since morning. Haemoglobin 78 g/L, urea 14.2 mmol/L with a creatinine of 82. He takes ibuprofen twice daily and no acid suppression.

Why is the urea disproportionately high?

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