Abstract:Mujer de 89 años con antecedentes de hipertensión arterial y fibrilación auricular en tratamiento anticoagulante con acenocumarol. Acude a Urgencias por hematemesis de sangre roja y mareos. La exploración física mostraba palidez cutá-neo-mucosa, restos de sangre fresca en cavidad oral, sin inestabilidad hemodinámica. La analítica denotaba anemia normocítica (Hb 7,2 g/dl, VCM 89 fl), elevación de la urea con creatinina normal (78 mg/dl y 0,9 mg/dl) y alteración de la coagulación (AP 4,8%, INR 5,9). Tras transfu… Show more
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