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.
Joanna (6 November 1479 â 12 April 1555), known historically as Joanna the Mad (Spanish: Juana la Loca), was Queen of Castile from 1504, and of Aragon from 1516. Modern Spain evolved from the union of these two crowns. Joanna was married by arrangement to Philip the Handsome, Archduke of the House of Habsburg, on 20 October 1496.