View source for Esophageal varices

==Background==
*Common cause of death among [[alcoholics]]

==Clinical Features==
===History===
*[[Hematemesis]]
**Coffee-ground emesis
*[[Vomiting]] + retching followed by hematemesis is more likely Mallory-Weiss (esophageal)
*Dark, tarry stools
*[[Syncope]] or pre-syncope
*[[Dyspepsia]], [[epigastric pain]] or heartburn

===Physical Exam===
*[[Tachycardia]], [[hypotension]]
*Liver disease
**Spider angiomata, palmar erythema, jaundice, gynecomastia
*[[liver disease induced coagulopathy|Coagulopathy]]
**[[Petechiae]]/[[purpura]]
*Melena

==Differential Diagnosis==
{{UGIB DDX}}

==Evaluation==
{{UGIB evaluation}}

==Management==
{{Upper GI bleed treatment}}

==Disposition==
*Admission

==See Also==
*[[Upper GI bleeding]]
*[[Upper GI Bleed Guidelines]]
*[[Balloon tamponade]]

==References==
{{Reflist|2}}

[[Category:GI]]