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.
Ursula is a feminine Christian name in several different languages. The name is derived from a diminutive of the Latin ursa, which means  bear . The name has been rather uncommon in the English-speaking world, although its use has been recently influenced by the Swiss-born actress Ursula Andress (born 1936). In German-speaking regions, Uschi is a common nickname for people named Ursula. It also has a masculine form, Ursulo.