CHART NOTE
After my initial history and physical examination, it is my impression that the patient has probable NSAID-induced peptic ulcer disease. I gave the patient 3 Hemoccult cards, all of which were returned and were subsequently negative. If at a future date the patient requires increasing dosage of NSAIDs, her stools should be reexamined, and if at any time they are positive, I would proceed with gastroscopy.
CHART NOTE
My impression was that he possibly had ulcer disease. He was given a trial of Tagamet 400 mg p.o. b.i.d. He was also given Hemoccult cards, which he sent back and which were subsequently negative on 3 different occasions. He was also given the Cancer Society brochure on the guidelines for preventing cancer. He was instructed to eat a high-fiber diet, and we suggested that he read the ‘Save Your Life Diet book.’ I discussed with him that if he did not get significant relief, it would be appropriate to proceed with gastroscopy.
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