HLSC 2461U Lecture Notes - Hematocrit, Glucocorticoid, Nicotine
Document Summary
58 year old male complaining of 3-week history of increasing epigastric pain. Has had dyspepsia in the past for which he took tums, but this is much worse and only partially relieved with chewable antacids. Epigastric pain can be confused with the angina or heart attack. Even in the stomach we talked in cardiovascular 1 and 2 how esophagitis, hepatitis and all that can cause pain. Gi disorders tend to produce very vain symptoms. Even people with appendicitis can show up with epigastric pain. The pain for point 2 and point 1 are very different. Sometimes people complain about heart burns and they tend to be dismissed. Relieved when eating, especially drinking milk, but recurs about 2 hours later. Denies radiation to his back, melena, hematemesis or fever. Denies fatty food intolerance or change in stools. Denies jaundice, increasing abdominal girth, or easy bruising. Denies shortness of breath or pain with exercise.
