You are assessing a 47-year-old male patient who has history of hypertension, hepatitis, liver cirrhosis and EtOH abuse. At time of assessment, he complains of epigastric pain, nausea and vomiting, and feeling lightheaded. The patient describes his emesis as having bright red blood in it. Your initial differential diagnosis is:

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The NREMT exam asks questions on these topics: - Airway, Respiration & Ventilation - Cardiology & Resuscitation - Trauma - Medical/Obstetrics/Gynecology - EMS Operations All sections, except EMS Operations, have a content distribution of 85% adult and 15% pediatrics [based questions].  Topic weightage: For the EMT exam, 18%-22% of questions asked will cover airway, respiration, and ventilation; 20%-24% will cover cardiology and resuscitation; 14%-18% will cover trauma; 27%-31% will cover medical/obstetrics/gynecology; and 10%-14% will cover EMS operations.  For the EMR, advanced EMT... Show more

1. You are assessing a 47-year-old male patient who has history of hypertension, hepatitis, liver cirrhosis and EtOH abuse. At time of assessment, he complains of epigastric pain, nausea and vomiting, and feeling lightheaded. The patient describes his emesis as having bright red blood in it. Your initial differential diagnosis is: