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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
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