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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GI will sign off. Please call with questions. Can follow up with me as an outpatient.
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Epigastric abdominal pain - Differential diagnosis includes peptic ulcer disease[]. Risks/benefits of EGD discussed with patient including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy. &
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#10;This is an example of a Meditech template. Use F2 to move between text areas.
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Hematemesis - &
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#10;Differential diagnosis includes gastric ulcer and esophageal varices. &
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#10; 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, 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 - &
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#10; Differential diagnosis includes hemorrhoids, arteriovenous malformation, diverticular bleed, and less likely colon cancer. &
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#10; Risks/benefits of colonoscopy discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with colonoscopy.
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Hematemesis - Differential diagnosis includes peptic ulcer, gastritis, esophagitis, and Mallory-Weiss tear. &
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#10; 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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