Lucie Lively

60 y old female

 

PC       bringing up blood

 

HPC     started yesterday

coffeeground vomit x3

epigastric discomfort for 4 weeks

no radiation of the discomfort

dull character

worse before food

no black stools

PMH    long standing indigestion

morning stiffness of her large joints

chronic obstructive pulmonary disease (COPD)

DH       inhalers (beta-mimetic, steroid)

oral steroids

allergic to elastoplast

SH       lives alone

teacher

ex-smoker (30 pack years (py))

no alcohol

FH       brother - ca lung

mother - died of stroke