Examlex
The ER physician documents that the patient is being admitted for hematemesis. The patient has an Hct of 24.3. A transfusion of packed red blood cells is administered (via peripheral vein) , and the patient is taken to the OR for an EGD. The EGD reveals that the patient has an acute perforated duodenal ulcer that is causing the bleed. The ulcer is cauterized. The patient is treated with IV antibiotics, omeprazole, and NG tube. The discharge summary lists an additional diagnosis of acute blood loss anemia.
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