NURS 6501 Module 3- Gastrointestinal and Hepatobiliary Disorders
A 45-year old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He described that pain as burning, non-radiating and is worse after meals. He denies nausea, vomiting, weight loss or obvious bleeding. He admits to bloating and frequent belching. PMH- + for osteoarthritis, seasonal allergies with frequent sinusitis infections. Meds- Zyrtec 10mg PO daily and takes it year around, ibuprofen 400-600mg PO PRN pain. Family Hx- non-contributory Social Hx- recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year history of smoking, drinks 2-3 beers/day, and drinks 5-6 cups of coffee/day. He denies illicit drug use, vaping or unprotected sexual encounters. Breath test in the office revealed + unease.
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