Week 7: GI Case Study
Mr. Brown, a 50 year-old male who comes into your office today complaining of a constant
burning pain in his stomach a couple of hours after he eats. He states that he was seen in the
emergency room 2 days ago for the same complaint and was given something called a “GI
cocktail” which relieved his symptoms. Mr. Brown reports that he enjoys coffee every morning
with breakfast and sometimes in the afternoon with a donut. A review of his records show that
acute coronary syndrome was ruled out in the emergency room 2 days ago. His last stress test
was 6 months ago, which was negative. EKG in the office today is normal.
Past Medical History: Obesity and High Cholesterol.
Surgical History: None.
Family history: Unknown he is adopted
Social History: Smoker x 10 years 1ppd, drinks 2-4 beers a day and ½ pack on the weekends.
Denies recreational drugs, does not exercise.
Drug allergies: NKDA
Current medications: None
All vaccines are up to date.
Vitals Height 69 inches, weight 205 pounds, BP 120/75, P 70, R 16.
Mr. Brown’s physical exam is normal, including the abdominal exam.
• What are your treatment goals for Mr. Brown today?
• What is your pharmacological plan and rationale? (cite with appropriate clinical practice
guidelines or scholarly peer-reviewed articles and always include medication name,
strength, dosage form, route, frequency and duration when making recommendations)
• Pick one medication from your response above and list 5 patient-centered teaching points
for the medication.
Mr. Brown, a 50 year-old male who comes into your office today complaining of a constant
burning pain in his stomach a couple of hours after he eats. He states that he was seen in the
emergency room 2 days ago for the same complaint and was given something called a “GI
cocktail” which relieved his symptoms. Mr. Brown reports that he enjoys coffee every morning
with breakfast and sometimes in the afternoon with a donut. A review of his records show that
acute coronary syndrome was ruled out in the emergency room 2 days ago. His last stress test
was 6 months ago, which was negative. EKG in the office today is normal.
Past Medical History: Obesity and High Cholesterol.
Surgical History: None.
Family history: Unknown he is adopted
Social History: Smoker x 10 years 1ppd, drinks 2-4 beers a day and ½ pack on the weekends.
Denies recreational drugs, does not exercise.
Drug allergies: NKDA
Current medications: None
All vaccines are up to date.
Vitals Height 69 inches, weight 205 pounds, BP 120/75, P 70, R 16.
Mr. Brown’s physical exam is normal, including the abdominal exam.
• What are your treatment goals for Mr. Brown today?
• What is your pharmacological plan and rationale? (cite with appropriate clinical practice
guidelines or scholarly peer-reviewed articles and always include medication name,
strength, dosage form, route, frequency and duration when making recommendations)
• Pick one medication from your response above and list 5 patient-centered teaching points
for the medication.
