An older resident in the nursing home was evaluated for complaints of not feeling well. The only finding on physical examination was tachycardia without an apparent cause. Laboratory testing revealed a 50% drop in hematocrit prompting hospitalization. Gastric lavage and endoscopy confirmed peptic ulcer with signs of upper GI bleed. The ulcer completely resolved with appropriate management over several weeks. The case illustrates an atypical presentation of peptic ulcer disease and highlights the need for an increased awareness of the absence of usual clinical manifestations in the geriatric age group.
|Original language||English (US)|
|Number of pages||17|
|Publication status||Published - Jan 1 2000|
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