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April 12, 2024

A 77-year-old woman presents with a six-week history of recurrent vomiting. She reports decreased appetite, ongoing

A 77-year-old woman presents with a six-week history of recurrent vomiting. She reports decreased appetite, ongoing nausea and some vague epigastric pain. She has a history of diabetes mellitus, hypertension, and atrial fibrillation for which she is on an oral anticoagulant medication. As part of the history, the physician inquires about the color and quality of her vomitus. Which of the following is a correct statement regarding the description of vomitus? Gastric juice is yellowish to greenish. Fecal odor to vomit may occur with gastric outlet obstruction. Brownish to blackish vomit suggests small bowel obstruction. Coffee grounds emesis suggests hematemesis. Bilious vomit has special significance.

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