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.
It does not need a definite article (a): Joanna is computer literate. But it would not be good English to say she is a computer literate since this phrase only can be used alone or with a noun: Joanna is a computer literate person.