"A 38-year-old married woman is brought to the emergency department by EMS. The EMTs report that she had been talking about having suicidal ideation and wanting to kill herself. She also complains of nausea and vomiting. You have been called to examine her. As you approach her stretcher, you notice that she has long, dark hair that looks matted and somewhat disheveled. She looks pale and is gripping a bowl. As you step to her side, she sits up, bends over the bowl and throws up liquid material, with a trace of bright red ...
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"A 38-year-old married woman is brought to the emergency department by EMS. The EMTs report that she had been talking about having suicidal ideation and wanting to kill herself. She also complains of nausea and vomiting. You have been called to examine her. As you approach her stretcher, you notice that she has long, dark hair that looks matted and somewhat disheveled. She looks pale and is gripping a bowl. As you step to her side, she sits up, bends over the bowl and throws up liquid material, with a trace of bright red blood. You wait until she is done, and ask her: "Can I help you?" She looks at you for a split second and then puts her finger down her throat and induces vomiting. She then slides down on the stretcher, feet hanging off the edge and begins to moan. She does not answer, and does not look at you. You ask again: "You must feel very nauseous. Is there anything I can do to help you?" She barely looks at you, just groans, and once again puts her finger in her mouth to initiate the gag reflex. She hugs the bowl, throws up clear liquid, and continues to heave. She then turns away from you and stops responding to your offer to help"--
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