0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

INTRINSIC GASTRODUODENAL LESIONS AS CAUSATIVE FACTORS OF HEMATEMESIS

ANDREW B. RIVERS, M.D.; DWIGHT L. WILBUR, M.D.
Arch Intern Med (Chic). 1932;50(4):621-634. doi:10.1001/archinte.1932.00150170113011.
Text Size: A A A
Published online

Previous study1 has revealed that intrinsic gastroduodenal lesions are responsible for approximately 90 per cent of all cases of hematemesis. Since hematemesis is usually produced by such lesions, it is justifiable to consider their diagnostic significance in detail, for an accurate diagnosis is highly desirable and is the key to eventual successful treatment. The outstanding factor of value in the differential diagnosis of such intrinsic lesions is the correlated consideration of (1) an accurately recorded and perused history and (2) laboratory studies, chiefly roentgenologic observations. Among intrinsic gastroduodenal lesions producing hematemesis, the most common are peptic ulcer and gastric carcinoma, while nonspecific inflammatory lesions, mucosal erosions, benign tumors, gastric syphilis and tuberculosis make up a small proportion of hemorrhagic lesions. This enumeration of some of the intrinsic gastroduodenal diseases producing hematemesis reveals that they are of almost equal medical and surgical significance, and, consequently, cooperative treatment is essential. It

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();