see fhpa for pmh/psh/meds and allergies 71 yo male transferred from with lgib. patient presented to with brbpr w/ clots and associated lightheadedness. source of bleeding identified, patient sent to ir for coiling and bleeding stablized. began re-bleeding, with positive red tag study. transferred to for interventional radiology. initial hct:41. no transfusions with initial bleed/coiling. hct at time of re-bleed 2/17:29. received 2 units prbc , repeat hct on arrival to :31. social:retired chemist, lives with spouse in , ma. no children. spouse and close family friend present on admission. family quite anxious and requesting to speak with attending md, radiologist etc. having some difficulty attending to visitation policy. dispo:full code ros: gi:npo abd soft, non-tender +bs. passing brbpr approx 50-100cc q 1-11/2 hours. specimen sent to bb, typed and crossed for 4 units of prbc. pt down to nuclear medicine at 17:00 for abbreviated red tag study:positive. transported to angio for treatment. heme:hct:31 pt/ptt:wnl inr:1.1 cv:hemodynamically stable, hr:90's-116 sr-st, bp:120's-160's/ k:3.9 resp:r/a rr:/min spo2:>95% bs:cta neuro:a&ox3, pleasant and cooperative. non-focal. verbalizing anxiety about his condition. requested ativan .5mg x1 gu:bun/cr:wnl voiding freely u/o:approx 225 since admission. no ivf ca:7.9, mg/po4:wnl endo:bs:wnl id:afebrile, wbc:8.2 no indication of infection assessment/plan: #1: lgib: patient in angio at present undergoing therapeutic intervention, follow hct on return, transfuse prn, npo, monitor for s&sx of bleeding, follow hemodynamics, ivf prn. support patient and family through education and re-direction as needed. trazadone/ativan qhs Procedure: Venous catheterization, not elsewhere classified Parenteral infusion of concentrated nutritional substances Arteriography of other intra-abdominal arteries Anastomosis of small intestine to rectal stump Diagnoses: Coronary atherosclerosis of native coronary artery Pure hypercholesterolemia Urinary tract infection, site not specified Unspecified essential hypertension Asthma, unspecified type, unspecified Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS) Paralytic ileus Hypovolemia Diverticulosis of colon with hemorrhage