Melena strongly suggests, and hematemesis confirms, that bleeding is of upper gastrointestinal originâ¦Peptic ulcer, the most common cause of gastrointestinal hemorrhage, should be pursued through questions about epigastric distress, the relationship of symptoms to food intake, and a past history of peptic ulcer disease.
The name Joanna is of Hebrew origin. The meaning of Joanna is G-d is gracious. Joanna is generally used as a girl's name. It consists of 6 letters and 2 syllables and is pronounced Joa-nna.
Isabella /is-abel-la/ [4 sylls.] as a name for girls is of Hebrew derivation, and the name Isabella means God is my oath. Isabella is an alternate spelling of Elizabeth (Hebrew).Isabella is also a variation of Isabel (Hebrew).See also Bella, Ella and Marisela.ow popular is Isabella? Isabella is a very prominent first name for women (#997 out of 4276, Top 23%) and also a very prominent last name for all people (#23638 out of 150436, Top 16%).