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EDWARD L. BORTZ, M.D.

Arch Intern Med. 1932;50(1):1-26.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Diffuse bleeding from the gastric mucosa is regarded as a relatively unimportant phenomenon and is rarely, if ever, considered in the bedside diagnosis of patients afflicted with hematemesis. When the patient vomits blood, the differential diagnosis, as a rule, takes into consideration the following possibilities:

The Most Common Causes of Gastric Hemorrhage

1. Neoplasms:
   

   Carcinoma
   

   Polypi
   

   
   
2. Ulcers:
   

   Acute
   

   Subacute and progressive
   

   Chronic
   

   
   
3. Infections—Acute or Chronic (May cause either a local ulcer or a diffuse gastritis):
   
   1. Intra-abdominal (colitis, enteritis, gastritis)
      

      appendicitis
      

      disease of the biliary tract
      

      tuberculosis
      

      typhoid
      

      
      
   2. Extra-abdominal
      

      scarlet fever
      

      yellow fever
      

      measles
      

      cellulitis
      

      pneumonia
      

      diphtheria
      

      endocarditis
      

      
      
   3. Disease of the upper respiratory tract
      
   4. Pelvic disease
      
   5. Alcoholism
      
   
   
4. Systemic Diseases:
   
   1. Cardiovascular
      

      heart failure
      

      endocarditis
      

      thromboses or emboli
      

      hypertension
      

      aneurysms
      

      ruptured varices
      

      esophagus
      

      rectum and anus (especially)
      

      
      

      
      
   2. Blood dyscrasias
      

      leukemia
      

      the purpuras
      

      
      
   3. Renal disease
      
   4. Cirrhosis
      
   5. Syphilis
      
   6. Allergy (urticaria)
      
   
   
5. Corrosion:
   

   From ingestion of poisons, as chloride, iodine, lye, etc.
   

   
   

Author Affiliations
PHILADELPHIA

From the Medical Service of the Lankenau Hospital.

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