Samuel Rhodes

Inpatient

60 · male · MRN-SRHOD60J

Upper gastrointestinal bleed

Location: Med Surg 4 Room 36
Admitted: Mar 7, 2025
Length of stay: 2 days
Status: in-progress

Vitals

Temperature

36.8 C

Heart rate

102 /min

Blood pressure

104/64 mmHg

SpO2

98 %

Encounter reason

Upper gastrointestinal bleed

Peptic ulcer diseaseactive
Alcohol use disorderactive
Hypertensionactive

Problem list

Peptic ulcer disease
Alcohol use disorder
Hypertension

Medications

pantoprazole IV infusion
IV fluids

Labs (most recent)

Hemoglobin: 7.6 g/dL
BUN: 34 mg/dL
INR: 1.3

Clinical note

Subjective: 60M with an upper GI bleed and melena, tachycardic. Objective: Hemoglobin 7.6 and dropping; received transfusion. Assessment/Plan: Active bleeding not yet confirmed controlled; awaiting endoscopy. NPO. Not appropriate for discharge.