Variceal Banding Recommendations: Propranolol 10 mg PO BID on discharge titrated by heartrate. Octreotide drip for three days. Clear liquid diet today, soft diet tomorrow, then resume low sodium diet the next day barring complications. Bleeding source was esophageal varices. The patient needs to follow up with gastroenterology to discuss repeat EGD in 2 weeks.
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Detection of Barrett's esophagus after endoscopic healing of erosive esophagitis. BE (mainly SSBE) is detected in approximately 12% of patients on repeat endoscopy in two months. Cited in guideline article about heartburn. ...Read more | Barrett's and esophagitis
immunomodulators or biologics: MMR, yellow fever and varicella vaccinations are contraindicated
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Blood in the fundus, body, and antrum interfering with visualization. Grade 2 esophageal varices with nipple sign[]. Banded times three with eradication of varices.
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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.
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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.
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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.
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Copy of EGD report with variceal banding given to patient. Instructed about repeat EGD in 4 weeks.
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Melena - Differential diagnosis includes peptic 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 with possible variceal banding. [] Octreotide drip and pantoprazole drip.
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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.
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Hematemesis - 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.
...Read more
year old []male presented with hematemesis for [] days, up to a []. Denies[] abdominal pain.
Hematemesis - 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.
...Read more