Question

A 72-year-old man with chronic low back pain and osteoarthritis has been self-medicating with over-the-counter Ibuprofen. He now develops epigastric pain and melena. What is the most likely underlying cause of his upper gastrointestinal bleed?

Accepted Answer

NSAID-induced gastric ulceration

Answer

Mallory–Weiss tear

Answer

Oesophageal varices

Answer

Gastric carcinoma

Answer

Duodenal diverticulum rupture

Practice question

A 72-year-old man with chronic low back pain and osteoarthritis has been self-medicating with over-the-counter Ibuprofen. He now develops epigastric pain and melena. What is the most likely underlying cause of his upper gastrointestinal bleed?