text:  The patient is thus stage IV endometrial and stage III-C ovarian vs metastatic endometrial for line II   cycle I chemotherapy IFEX   MESNA and VP-16 . The plan was for urinalysis q d . With the history of DVT   we plan Coumadin and check her coags . The patient was tachycardiac on admission and it was felt she was dehydrated and    or anxious at the time of her initial evaluation . EKG showed sinus tachycardia and incomplete right bundle branch block . When compared with ECG of 11-06-90   there was borderline criteria for anterior MI although the patient denied any chest pain at any point .