Sent 02/23/2026 12:10:21, Page - 15

FRASER HEALTH AUTHORITY Emerg Nete
Royal Columbian Hospital HOLAND,MARK THOMAS
RCO161840/25

requiring IR embolization in 2022 secondary to NSAID use. He presents with 2 day history of what
he describes as constant epigastric pain that radiates to his left chest that is similar but less severe in
nature to the symptoms that preceded his previous ulcer. Urifortunately he recently took a
medication for a month that cantaln salicylates which she stopped 1 week ago. He aiso describes
several week history of mild presyncope In the absence of any other symptoms. Review of systems
negative for fevar/chiils, lacallzing Infectious symptoms, shortness of breath/palpitatlons/syncope,/
hematochezia/hematemesis/melena. His baseline BP ranges 100 to 110 and resting heart rate is in
the 50s. He had a Holter that was normal done by his family doctor. On abdominal exam he had
mild epigastric tenderness. Case was reviewed with GI on-call wha recommended the above for
consideration of repeat scope. Patient is aware to return to the amergency department intractable
abdominal pain, any symptoms of GI bleed, syncope, any other patient concerns.

Discharge Plan
Discharge
Reason For Visit: LOW BP/CHEST PAIN/FAINTISH

ED Diagnosis: Abdominal pain NYD

Discharge Date/Time: 19/05/2025 15:17

Electronically Signed on: 19/05/25 1643
Electronically Signed by: Eppler,Kate A MD

Co-Signature, if required:

Electronically Signed on: 19/05/25 1530

Electronically Signed by: TE,BIANGA NICOLE A. DOC-MS
Copied To:

Ademiluyi,Gbogboade AMD

BGCA #:
Meditech Report ID; 1905-00211
Document Created Date/Time: 19/05/25 1212

This record contains confidential information which must be protected. Any unauthorized use or disclosure is strictly prohibited.

Moditech Report iD: 1905-00211 dota

PAGE 15/47 * RCVD AT 2/23/2026 12:10:26 PM [Pacific Standard Time] * SVR:FAXP21/3 * DNIS:9777 * CSID: * ANI:17783680130 * DURATION (mm-ss):21-27