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Hematemesis - Differential diagnosis includes gastric ulcer and esophageal varices. Risks/benefits of EGD with possible variceal banding discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy. Patient counseled on avoiding alcohol use. ...Read more

Await pathology results. The patient should be on Pantoprazole 40 mg p.o. BID for six weeks on discharge. The patient needs to follow up with me [] to discuss a repeat EGD in 6 weeks. Message was sent to clinic for follow up. Most likely source of bleeding was the gastric and duodenal ulcers. Avoid alcohol and NSAIDs. Differential diagnosis for gastric ulcer includes gastric cancer although less likely. Differential for gastritis includes H. Pylori infection ...Read more

Melena - Differential diagnosis includes gastric ulcer and esophageal varices. Risks/benefits of EGD with possible variceal banding discussed with patient[] including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy. [] Octreotide drip. ...Read more

ICD 10 Diagnosis for Gastroenterology. Inpatient Gastroenterology. Hematemesis, hematochezia, melena, acute blood loss anemia, elevated liver enzymes, dysphagia esophagopharyngeal, epigastric abdominal pain, right upper quadrant abdominal pain, left upper quadrant abdominal pain, right lower quadrant abdominal pain, abnormal CT, ascites, hepatic encephalopathy, alcoholic cirrhosis, non-alcoholic cirrhosis, C. difficile diarrhea, acute pancreatitis, chronic pancreatitis, biliary pancreatitis, cannabis hyperemesis syndrome, cyclic vomiting syndrome, abnormal intraoperative cholangiogram. ...Read more | ICD 10 Melena

Hematemesis - Differential diagnosis includes gastric ulcer, gastritis, esophagitis, and Mallory-Weiss tear. Risks/benefits of EGD discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy.
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Hematochezia - differential diagnosis includes bleeding from hemorrhoids, diverticulosis, arteriovenous malformation, and less likely from colon cancer. Risks and benefits of colonoscopy including bleeding, infection, perforation, and death discussed with patient. Patient agreeable to proceed with colonoscopy. PT/INR and Golytely ordered. NPO after midnight.
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Hematemesis - Differential diagnosis includes gastric ulcer and esophageal varices. Risks/benefits of EGD with possible variceal banding discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy.
...Read more

Hematemesis - Differential diagnosis includes gastric ulcer, gastritis, esophagitis, and Mallory-Weiss tear. Risks/benefits of EGD discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy. Higher risk procedure considering age and cardiac comorbidities[]. A total of 35 minutes were spent face-to-face with the patient during this encounter.
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Hematochezia - Differential diagnosis includes hemorrhoids, arteriovenous malformation, diverticular bleed, and less likely colon cancer. Risks/benefits of colonoscopy discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with colonoscopy.
...Read more

Hematemesis - Differential diagnosis includes gastric ulcer and esophageal varices. Risks/benefits of EGD with possible variceal banding discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy. Patient counseled on avoiding alcohol use.
...Read more

Hematemesis - Differential diagnosis includes peptic ulcer, gastritis, esophagitis, and Mallory-Weiss tear. Risks/benefits of EGD discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy.
...Read more

Hematochezia - Differential diagnosis includes hemorrhoids, arteriovenous malformation, and less likely colon cancer. Risks/benefits of colonoscopy discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with colonoscopy.
...Read more

Hematochezia - Differential diagnosis includes diverticular bleed, hemorrhoids, arteriovenous malformation, peptic ulcer disease and less likely colon cancer. Risks/benefits of colonoscopy and possible upper endoscopy discussed with patient and family[] including bleeding, infection, perforation, and death. Patient agreeable to proceed with colonoscopy and possible upper endoscopy.
...Read more

Hematemesis - Differential diagnosis includes peptic ulcer, gastritis, esophagitis, Mallory-Weiss tear, and less likely esophageal varices. Risks/benefits of EGD with possible variceal banding discussed with patient[] including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy.
...Read more

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