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

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PMH    long standing indigestion

morning stiffness of her large joints

chronic obstructive pulmonary disease (COPD)

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DH       inhalers (beta-mimetic, steroid)

oral steroids

allergic to elastoplast

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SH       lives alone

teacher

ex-smoker (30 pack years (py))

no alcohol

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FH       brother - ca lung

mother - died of stroke