A 60 year old male a sudden fall in toilet. His BP was 90/50 mm Hg and pulse was 100/min. His relatives repoed that his stool was black/dark in colour. Fuher careful history revealed that he is a known case of hypeension and coronary aery disease and was regularly taking aspirin, atenolol and sorbitrate. The most likely diagnosis is-
Peptic ulcers may be in the stomach, the small intestine just below the stomach, or the food pipe above the stomach. Sometimes, peptic ulcers can bleed (known as bleeding ulcers). More severe bleeding, known as hemorrhaging, can be life-threatening. Infections and some medications can cause bleeding ulcers Ref Davidson 23rd edition pg 683
Gastric ulcer with bleeding
Acute myocardial infarction with cardiogenic shock
Acute cerebrovascular accident
Pulmonary embolism
C.V.S