HISTORY OF PRESENT ILLNESS
This patient was only recently discharged for a recurrent
GI bleed as described below.
He presented to the ER today c/o a dark stool yesterday
but a normal brown stool today. On exam he was hypotensive in the
80s resolved after .... .... ....
Lab at discharge: Glucose 112, BUN 16, creatinine 1.1,
electrolytes normal. H. pylori antibody pending. Admission
hematocrit 16%, discharge hematocrit 29%. WBC 7300, platelet
count 256,000. Urinalysis normal. Urine culture: No growth. INR
1.1, PTT 40.
He was transfused with 6 units of packed red blood cells
with .... .... ....
GI evaluation 12 September: Colonoscopy showed single red
clot in .... .... ....