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

Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.

The Compendium platform was created by David Kwinter, MD, CCFP(EM).

Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.