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1. Based on the case study provided, respond to the following questions:

a. Identify and differentiate the symptoms from the signs in this patient.

b. Did you find any remarkable detail in the personal and social history of our patient that can help to make the diagnosis?

c. What results do you expect to find in the tests ordered?

d. What are some future complications the patient is at risk of developing?

2. According to the patient's previous medical history, it is possible that he has cirrhosis of the liver? Why? Can cirrhosis of the liver be a cause of upper digestive bleeding? What is the prognosis? Explain.

3. What specific sign on the physical exam is characteristic of upper digestive system bleeding?