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Gastrointestinal Disorders

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Gastrointestinal Disorders

A 50-year-old man has been suffering from substernal pain for the last 5 months, particularly on waking up in the morning. He lost his job a year ago and was suffering from depression. He consumes about 12-16 cans of beer every day. He has lost his appetite too and says that eating aggravates pain.

Is this acute or chronic gastritis?
What factors may lead to the development of gastritis?
What investigation should be performed?
How can the patient be treated?
Present your work in a two- to three-page Word document.

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Solution Preview

Acute gastritis typically occurs secondary to something else, like an infection, and lasts no more than a few weeks at most (hence acute). Considering our patient has had substernal pain for 5 months, the gastritis can be classified as chronic. Typically the cause also helps define whether or not something is acute or chronic. In the case of gastritis, temporary drug usage can cause gastritis and if stopped, the gastritis is self-limiting, and fairly acute. For chronic gastritis, long term infections (e.g. HIV), GI disorders (e.g. Crohn's, pyloric sphincter malfunction) cause gastritis to become recurrent.

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Solution Summary

Gastrointestinal disorders for substernal pain is determined.

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Gastrointestinal Disorders and Diagnoses

A 57-year-old Wall Street broker has been suffering from intermittent constipation and diarrhea for several months. He complains of abdominal pain and a feeling of fullness. He has been taking Metamucil to add fiber to his diet and to have regular bowel movements, without consulting a doctor as he is too busy. After noticing that his feces are black in color for the last several days, he goes to see a doctor.

What additional tests will the doctor order?
List two possible clinical diagnoses. Explain your answer.
What are some possible treatments for each of the diagnoses?

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