Background: Initial management of acute upper gastrointestinal bleeding (UGIB) aims towards aggressive fluid resuscitation to maintain hemodynamic stability. Existing evidence regarding benefit of early endoscopy is unclear with some studies suggesting mortality benefits and some suggesting otherwise. The purpose of this study is to evaluate if there is any mortality benefit of doing early endoscopy [...]

Case Presentation: Introduction: In a hospital medicine service, how often do we come across the conundrum of a high risk bleeder who has a high risk for clot? This is one of the more common clinical scenarios that plague us as providers. A double edged sword, we talk about the dire consequences on either side [...]

Case Presentation: A 59-year old male with a history of hypertension, chronic kidney disease, and Stanford Type A aortic dissection (treated six years prior by open followed by endovascular repair) presented with a four-day history of hematemesis associated with midsternal chest pain. He reported taking a nifedipine tablet, which felt like it was “stuck in [...]