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.
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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.
...Read more
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