A 60 years old male had a sudden fall in toilet. His BP was 90/50 mm Hg and PR= 100/min. His relatives repoed that he is a known case of hypeension and CAD plus had a history passing black tarry coloured stools (multiple episodes) and was regularly taking aspirin, atenolol and sorbitrate. The most likely diagnosis:
Hypotension in an elderly patient with history of aspirin intake and complaints of black stool suggests GI bleeding due to drug induced gastritis. Bleeding peptic ulcer due to NSAIDs is more frequent in individuals >60 years of age due to increased use of NSAIDs in this group.
Gastric ulcer with bleeding
Acute MI with cardiogenic shock
Acute CVA
Pulmonary embolism
Stomach & Duodenum