Mar 12, 2026 11:58 To: +16042339777 Page: 30/46 From: Foremed Medical Clinic Fax: 16043985614

FRASER HEALTH AUTHORITY Emerg Note
Royal Columbian Hospital HOLAND,MARK THOMAS
RC0161840/25

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. Unfortunately he recently took a
medication for a month that contain salicylates which she stopped 1 week ago. He also describes
several week history of mild presyncope in the absence of any other symptoms. Review of systems
negative for fever/chills, localizing infectious symptoms, shortness of breath/palpitations/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 who recommended the above for
consideration of repeat scope, Patient is aware to return to the emergency 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,BIANCA NICOLE A. DOC-MS

Copied To:
Ademiluyi,Gbogboade A MD

BCCA #;
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.

Meditech Report iD: 1905-00211 4of4

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