Signs you've been studying the GI tract too long:

(Paraphrased) Question from the Pathology review book:

52) A 45-year old chronic alcoholic presents to the ED after an episode of hematemesis (vomiting up blood) that has continued for 3 hours. What would the likely findings be in the liver?

I chose "massive hepatic necrosis." My thought process: Necrosis (a type of cell death) leads to hemorrhage (bleeding) which then would lead to throwing up blood.

Right… Because in my over-tired brain, somehow the liver was connected directly to the lumen of the esophagus… Great, now I am making up anatomy…

(For those of you curious, the correct answer is rupture of esophageal varicies as a result of portal hypertension as a result of alcoholic hepatic cirrhosis. And I knew that, too! )

Definitely time to go to bed. Looking forward to Hell-Week, Part II