- Inpatient Admission The Patient A Man With A Long History Of Alcohol Dependence With Resultant Alcoholic Cirrhosis 1 (250.04 KiB) Viewed 37 times
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. Inpatient admission: The patient, a man with a long history of alcohol dependence with resultant alcoholic cirrhosis, was admitted with red, coffee-ground hematemesis. An emergent esophagogastroduodenoscopy revealed bleeding esophageal varices, which were excised. The varices are secondary to the alcoholic cirrhosis. No problems were identified in the stomach or duodenum. He was transfused via peripheral vein in his left arm with multiple units of packed red cells and frozen plasma, and yet the bleeding continued. He was returned to surgery, and an esophagoscopy was performed to sclerose the bleeding esophageal varices a second time. Discharge diagnoses: (1) Upper gastrointestinal bleed, (2) esophageal varices, (3) Laennec's cirrhosis, (4) alcohol dependence. Principal procedure: Control of esophageal bleeding by excision of varices.