Problem
58 y/o female present to the er actively vomiting bright red emesis. husband at bedside. states she was here las week and had an EGD with Dr valentine that showed a pyloric channel ulcer as well as another large gastric ulcer patient was discharged home with RX for protonix after treatment for bleeding was successful. Husband states patient felt rally all so they went to her favorite restaurant last night where she had fried chicken mashed potatoes green beans and coffee. about an hour after dinner she began vomiting red colored emesis EMS was called at that time. one las admission patient received 2 units of PRBCs currently her H&H are 5.7 and 17.5.
What may have triggered the patients GI bleed?