Severe upper gastrointestinal hemorrhage due to esophageal varices. A 40 year-old, alcoholic male that has been drinking continuously for 3 months, a bottle of alcoholic beverage every day, came to the emergency room presenting severe hematemesis, The patient presented hypovolemic shock his average of arterial blood pressure was 70/40. He has a history of long standing alcohol adiction but no prior episodes of gastrointestinal bleeding.
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