Instructions:
Please write a discussion to the case study Week 4 – Case File – Family Medicine, Section – Gastrointestinal System-FM, Case Study – Lower Gastrointestinal Bleeding. I will provide the case summary below. I will also post the case summary/case file and more information in the additional materials. Whenever you are writing the discussion, just be sure to write about the case study summary, what you have learned, pathophysiology, and treatment. Please write in APA 7 format. Use 3 peer-reviewed references. References must be current and no later than 5 years (2018-2023). If you have any questions please sure to let me know.
****CASE SUMMARY****
A 62-year-old man presents to your office for a routine evaluation. His only complaint is of fatigue over the past 2 to 3 months despite no changes in diet or lifestyle. On questioning, the patient reports that he has never smoked and admits to an increase in his consumption of alcohol upon retiring, to about two to three beers per day. He has occasional headaches the day after a night of heavier drinking and takes ibuprofen for the headaches. As you talk to the patient and examine his chart, you note no distress and proceed with your examination. Compared to a visit from 6 months ago, you note a 4-lb weight loss and an increase in his pulse. His blood pressure is 129/81 mm Hg. He has pale conjunctivae, but the rest of his general examination is unchanged from the previous examination. You perform a digital rectal examination and find a smooth, normal-size prostate; some soft, reducible protrusions within the internal sphincter; and guaiac-positive stool. You decide on a more direct approach and delve into his drinking, bowel habits, and medication use. His only addition is the occasional production of bloody stools accompanied by some diffuse abdominal discomfort.
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