NORMAN M. SCOTT JR., F.A.C.P.
The unfortunate patient who is bleeding from undetected esophageal varices and is subjected to needless abdominal exploration because his doctor suspects duodenal ulcer as the cause gets little comfort from statistics. While it is perfectly true that ulcer accounts for the majority of serious upper gastrointestinal bleeding, there is ample evidence of the practical possibility of hemorrhage from other lesions.1-13 Though these may be less common statistically, they still are important numerically, and may be vital to the individual patient who has one.
It may seem heretical, but the reliability of the history, past history and physical examination in pointing
SCOTT NM. EXPERIENCES WITH THE "VIGOROUS DIAGNOSTIC APPROACH" TO UPPER GASTROINTESTINAL HEMORRHAGE1. Ann Intern Med. 1959;51:89–98. doi: 10.7326/0003-4819-51-1-89
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Published: Ann Intern Med. 1959;51(1):89-98.
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