An upper endoscopy is planned to visually examine the upper gastrointestinal tract (esophagus, stomach, and duodenum) to determine the presence or absence of peptic ulcer disease or cancerous growths.
Used when a patient presents with symptoms suggestive of peptic ulcer disease (e.g., abdominal pain, nausea, vomiting) or concerning for upper gastrointestinal malignancy (e.g., dysphagia, weight loss, anemia).
"Upper endoscopy scheduled to evaluate for peptic ulcer disease or malignancy given persistent epigastric pain and weight loss."
This phrase should be used in the plan section of a clinical note to document the intent to perform an upper endoscopy for diagnostic purposes.
Common questions about using medical phrases in clinical documentation