Discussed EGD and H pylori positive pathology results. Triple therapy and H. pylori breath test in 6 weeks. Eradication - a urea breath test, fecal antigen test, or upper endoscopy performed four weeks or more after completion of antibiotic therapy. No PPI therapy for one to two weeks prior to testing.
Reply to this Note | Notes Linking Here | Prior Note
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The Declaration of Independence was signed on July 4, 1776. Discuss what each section means to you. Click on a section and reply to that post.
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The Vanguard International Fund holds Federal Home Loan Bank Discount Notes. It appears to be a small part of the portfolio.
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Propranolol 10 mg PO BID on on discharge titrated by heartrate. Octreotide drip for three days.
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Risks/benefits of EGD discussed with patient including bleeding, infection, perforation, and death. Possibiliy of the need for interventional radiology or surgical intervention also discussed if endoscopy unsuccessful.
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Risks and benefits of ERCP discussed with patient including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Patient agreeable to proceed with ERCP.
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Risks and benefits of ERCP discussed with patient including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Patient agreeable to proceed with ERCP. Hand out describing procedure given to patient.
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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.
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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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Low fat diet on discharge. GI will sign off. Please call with questions. Can follow up with me as an outpatient. Message sent to clinic.
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