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.
Lara is a very popular first name for women (#695 out of 4276, Top 16%) and also a very popular last name for both adults and children (#501 out of 150436, Top 1%). (2000 U.S. Census). Shown below is the baby name popularity of Lara for girls.t is of Latin origin, and the meaning of Lara is  protection . From  Lares , referring to the individual gods of Roman households, the protectors of home and fields. Also possibly (Latin) cheerful; famous . It may also be traced to the Greek Larissa.