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Case 5 

Case 5
Chapter:
Case 5
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.05
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date: 22 October 2019

A 52-year-old retired army major presented with recurrent haematemesis and melaena. The patient had been previously diagnosed with liver cirrhosis, secondary to alcohol abuse. He had had two episodes of variceal haemorrhage 2 years previously, which had been controlled by oesophageal variceal banding. He continued to drink up to six standard alcoholic drinks per day. He had type 2 diabetes, for which he was taking metformin 500mg twice daily. He was also taking spironolactone 50mg/day.

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