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Hematemesis-Hx of varices ()
Acute blood loss anemia-()
Alcohol abuse- () seizures.
Elevated INR with low platelets-likely secondary cirrhosis
Plan:
IV fluids
Keep NPO
Continue Protonix and Sandostatin drip, IV Rocephin
Monitor H&H > greater than 7.
Avoid alcohol
Seizure Precaustions
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. Thank you for consultation.
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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. See Post
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ROSEMARY SALMON
Lightly seared with fresh rosemary and drizzled with garlic Parmesan butter. Melbourne, Florida #food well cooked 2020 $18.99 See PostCharlotte from the air 2020 #travel
See PostHematemesis - 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. See Post
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