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Man Vomits Blood in ER After Switching Pain Meds - Can You Diagnose?

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A 62-year-old man went to the emergency room complaining of epigastric pain. As a nurse took his vitals, he vomited blood.

Three months earlier, he had been at his primary care doctor complaining about knee pain. He was originally prescribed diclofenac. Diclofenac gave him terrible heartburn so the primary care doctor switched him to naproxen with codeine, which he had been taking regularly over the past week.

Is it a gastric ulcer, gastritis, a myocardial infarction, or esophagitis?

Check out our differential in VisualDx.

The correct diagnosis is...

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