Melena - Differential diagnosis includes peptic ulcer. Risks/benefits of EGD discussed with patient[] including bleeding, infection, perforation, and death. Patient agreeable to proceed with upper endoscopy.
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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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Gastric varices types. Gastro-esophageal varices type 1 extend along the lesser curvature. Gastro-esophageal varices type 2 extend into the fundus. Isolated gastric varices type 1 are in the fundus. Isolated gastric varices type 2 are in the antrum.
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