Burns Flashcards
1
Q
A 30-year-old man is trapped in a house fire and sustains 30% partial and full thickness burns to his torso and limbs. Three days following admission he has a brisk haematemesis.
Which one of the following is the most likely explanation for this event?
- Dieulafoy lesion
- Curlings ulcers
- Mallory Weiss tear
- Depletion of clotting factors
A
Curlings ulcers typically occur secondary to thermal injuries and are caused by loss of GI protective mechanisms. They are at greater risk of perforation than stress ulcers and may also haemorrhage.