He had been taking naproxen (6 tablets daily) for shoulder
pain for two weeks. Three days ago he began having 3 to 4 melenic stools
per day. Two days ago he developed weakness and became lightheaded. In the
emergency room, he was found to be pale and a nasogastric lavage revealed
coffee-ground material which cleared after 1.2 liters of levage.
Previous Medical Diagnoses, Hospitalizations, and Operations:
Parkinson's Disease
Hypothyroidism
Hypertension
Diabetes Mellitus, Type 2
Medications:
Acetaminophen
Naproxen
Gabapentin
Levothyroxine
Personal and Social History:
Quit tobacco and alcohol use 35 years ago, previous heavy
ingestion of beer for 18 years; no substance abuse; no travel; stable family
and finances
