A Review of Richard Henderson's Medical Case

Richard Henderson is a patient currently being treated for gastritis, GERD, and blood pressure health conditions. Since he reports abdominal pains and subsequent throwing up of coffee ground emesis, we can conclude that Richard suffers from internal bleeding in his GI tract. The esophagus, the stomach, and the duodenum could be bleeding, resulting in the coffee ground emesis Richard exhibits. Severe gastritis symptoms could include dizziness, paleness, and clammy skin, which Richard is experiencing. Additionally, shortness of breath and vomiting could indicate that the stomach lining of a patient is bleeding.

Given Richard's symptoms, he is experiencing hypovolemic shock related to his blood and fluid loss through consistent vomiting. Particularly, he is in the progressive stage of shock since his body consistently tries to fight the adverse effects of the GI bleeding tract before he becomes unconscious. Medical observation of the upper GI tract could enable medical experts to determine whether there are acidic refluxes associated with GERD, which cause dizziness and sometimes unconsciousness in patients. Blood tests could establish the level of blood loss, whether low or high since Richard would consistently throw up before becoming unconscious. Using the blood test results, experts can decide how to stabilize the blood to manage the symptoms he's experiencing. Upper endoscopy exams, which involve the use of small cameras to examine the source of bleeding, could be used, and medication that could reduce the same could be administered ("Coffee Ground Emesis (Vomitus): Causes, What it Is & Treatment", 2022). After the examination, I recommend that the patient take proton-pump inhibitors, drugs used for patients with GERD and BP, to stabilize stomach acids, thereby reducing their blood loss (Gwee et al., 2018).

Richard is an admitted patient with GERD, gastritis, and BP conditions. His consistent throwing up of coffee-ground emesis proves that part of his GI tract is bleeding. Since he's experiencing the progressive stage of hypovolemic shock, his condition can be treated if medical experts can determine the severity of blood loss through an upper endoscopy examination.

References

Coffee Ground Emesis (Vomitus): Causes, What it Is & Treatment. (2022). https://my.clevelandclinic.org/health/symptoms/23153-coffee-ground-vomitus.

Gwee, K. A., Goh, V., Lima, G., & Setia, S. (2018). Coprescribing proton-pump inhibitors with nonsteroidal anti-inflammatory drugs: risks versus benefits. Journal of Pain Research, 11, 361. https://doi.org/10.2147%2FJPR.S156938.