Q:

A patient after his house fire came with hematemesis with erosion/ulcer of esophagus and on examination there is 55% burn and on endoscopy there is a stomach/gastric erosion and soot in the mouth. What is the treatment?

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A patient after his house fire came with hematemesis with erosion/ulcer of esophagus and on examination there is 55% burn and on endoscopy there is a stomach/gastric erosion and soot in the mouth. What is the treatment?


  1. PO PPI
  2. IV PPI
  3. PPI and antibiotic
  4. H. pylori test
  5. Tracheal intubation

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The key is E. Tracheal intubation. [If a burnt patient gets soots in mouth and /or nose tracheal intubation is done. GI ulceration (here oesophageal and gastric ulcers and erosions) due tu burns are known as curlings ulcers].

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