Case 44131

Abstract

Presentation of Case First admission. A seventy-five-year-old woman entered the hospital because of "spitting up of blood."Two weeks previously she had an upper respiratory infection that was treated with tetracycline. During the two days before admission she was nauseated and vomited half a cupful of blood each day.She stated that she had been "anemic" all her life. The lowest recorded hemoglobin was 10 gm. per 100 ml. She had been taking 2.4 gm. of ferrous sulfate orally each day since just before the birth of her first child forty-seven years previously. Her menstrual periods, which were always . . .