Follow up & Further investigation
Patient was hemotransfused with 1 unit of blood on day of admission and
subsequently 2 unit of blood and oral iron supplements to manage his
anemia. A repeat Hemoglobin count 3 days after depicted an increase of
hemoglobin count from 5g/dL to 7.9g/dL.
An upper gastrointestinal (GI) endoscopy was then requested for further
evaluation after the patient was stabilized.
The upper GI endoscopy revealed esophageal varices with mild extension
of the varices to the gastric fundus. Normal appearance of the duodenum
identified.
Patient was managed on oral blood supplements to further correct his
anemia and was discharged from the hospital 2 weeks after. During his
time of admission, he did not experience any of the initial symptoms he
presented to the hospital with. Also, there was improvement in his
hemoglobin count (Hb = 11.2 g/dL); with no complaints of dizziness,
vomiting of blood or passage of dark-colored stool at the time of
discharge.
He was then scheduled for 2 weekly review for further management by both
the medical and surgical teams on out-patient basis.