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Hrm 531 Week 4 Case Study

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Week 4 Case Study 3 A 25-year-old male graduate student is seen in the office with the chief complaint of upper abdominal pain. He states that he noticed the pain intermittently over the past several weeks. He notices that he gets gnawing pain about 2 hr after he eats. He also notes that he has some bloating and occasional nausea with the pain. He states that the pain is relieved by antacids most of the time. 1. What is the difference between a. and a. What additional questions should you ask the patient and why? I will ask the patient about the pain symptoms and if it stays constant or goes away. Does eating or drinking help with his symptoms? I will also ask if the patient has had trouble swallowing, chest pressure, pain, or any other symptoms of his pain. …show more content…
Additionally, I will ask him if he has gained weight recently. Pain that occurs due to duodenal ulcer improves after meals but will come back hours later whereas gastric ulcer has pain that occurs while eating and will lead to patient being disinterested in eating and cause weight loss. I would ask if the patient noticed blood in the stool. Anemia or blood in the stool may occur due to a cancer-related gastric ulcer. I would also like to know if the patient is currently taking NSAIDs or other medications that may lead to his symptoms (Ocasio Quinones & Woolf, 2023). 2. What is the difference between a'smart' and a'smart'? What are the possible differential diagnoses currently? Gastroesophageal reflex disease, gastric ulcer, duodenal ulcer, gastritis, gastric cancer, and cholelithiasis 3. What tests should you order and why? Complete blood count and basic metabolic panel to assess blood loss and anemia. H. pylori is the most common cause of gastric and duodenal ulcers. Stool antigen assay is 90% specific in diagnosing and confirming eradication of H. pylori

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