Tuesday, August 22, 2017
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Case study No. 3

Gastroenterology

History

A 42-year-old man, complaining of a severe upper abdominal pain, checked himself into the Emergency Department (ED) ofa hospital.

He described the pain as intermittent over the past 10 days and complained that it causes him to wake up during the night.

However, the pain had now acutely worsened and was radiating throughout the patient's upper abdomen and extending to his back.

The patient stated that the pain increases when he islying flat on his back and slightly improves when in an upright sitting position. He also complained of suffering from mild nausea without vomiting. When asked, he replied that he suffered from none of the following symptoms:

  • Changes in bowel habits
  • Chest pains
  • Shortness of breath
  • Palpitations

The patient suffers from no chronic medical conditions and does not use any medications including non-steroidal anti-inflammatory drugs (NSAIDs).

He was however, a smoker and drinksbeer on a daily basis.

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Rametax

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