ED physician note
PROGRESS · Dr. K. Simmons · Mar 5, 2026, 8:45 PM
59F with known cirrhosis presenting with hematemesis. Hemodynamically unstable on arrival — HR 118, BP 84/52. Two large-bore IVs placed. Type and crossmatch sent.
PS
Patrick Sullivan, MD
Attending Physician
Active Chart · MRN SYN-1005
Patricia Davis
59 y/o F · Upper gastrointestinal hemorrhage
Chart Review
Encounter timeline and laboratory review
Encounter timeline
Linked visit history and responsible clinicians.
Inpatient
OPENUpper gastrointestinal hemorrhage · Dr. Omar Farid
Started Mar 5, 2026, 8:10 PM
Labs
Recent resulted values for the active encounter.
| Collected | Test | Value | Reference |
|---|---|---|---|
| Mar 5, 2026, 8:30 PM | BUN | 42 mg/dL | 7-20 |
| Mar 5, 2026, 8:30 PM | INR | 1.8 | 0.9-1.1 |
| Mar 5, 2026, 8:30 PM | Platelet count | 88 K/uL | 150-400 |
| Mar 5, 2026, 8:30 PM | Hemoglobin | 7.2 g/dL | 12.0-16.0 |
| Mar 4, 2026, 8:00 AM | Hemoglobin | 9.8 g/dL | 12.0-16.0 |
SIGNED
Notes
Progress and clinical documentation
ED physician note
PROGRESS · Dr. K. Simmons · Mar 5, 2026, 8:45 PM
59F with known cirrhosis presenting with hematemesis. Hemodynamically unstable on arrival — HR 118, BP 84/52. Two large-bore IVs placed. Type and crossmatch sent.
Orders
Medication, lab, and imaging entry
Type and screen
LAB · Mar 5, 2026, 8:35 PM
Parameters: STAT
Rationale: Prepare for transfusion.
CBC
LAB · Mar 5, 2026, 8:35 PM
Parameters: q4h
Rationale: Trend hemoglobin.
Wrap-Up
Finalize documentation and orders
Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.