Hx
Amount
Duration
Context (after severe vomiting, alcohol ingestion, nosebleed)
Associated symptoms
Constititional
Nausea
Pain
Dyspepsia
Medications
Warfarin
NSAIDs
PHx
Peptic ulcer disease
Liver disease
Abdominal aortic aneurysm repair
Easy bleeding
PE
Vital signs, including orthostatics
ENT
CV exam
Abdominal exam
Rectal exam
Ddx
Bleeding peptic ulcer
Gastritis
Gastric cancer
Esophageal varices
Mallory-Weiss tear