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CASE STUDY A 52-year-old male presents to the office for a routine physical. The review of symptoms reveals anorexia, heartburn, and weight loss over...


A 52-year-old male presents to the office for a routine physical. The review of symptoms reveals anorexia, heartburn, and weight loss over the past 6 months. The heartburn is long standing, occurring most days during the week. He takes TUMS or Rolaids to relieve the discomfort. The patient describes occasional use of ibuprofen for back pain, but denies other medications including herbals. He has no known allergies. He was adopted so does not know his family history. Social history reveals that, although he stopped smoking ten years ago, he smoked for 20 years. He occasionally consumes alcohol on the weekends only. The only positive physical exam finding for this patient was slight epigastric tenderness. The remainder of his exam was negative and the rectal exam was negative for blood.


  • Explain the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis.
  • Please use APA in-text citations


Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2017). Primary care: A collaborative practice (5th ed.). St. Louis, MO: Elsevier.

  • Part 12, "Evaluation and Management of Gastrointestinal Disorders" (pp. 623-730).
  • This part examines the pathophysiology and clinical presentation of several GI disorders. It also describes diagnostic criteria, differential diagnosis, and management methods for GI disorders.
  • Part 20, "Evaluation and Management of Infectious Disease"
  • Chapter 232, "Infectious Diarrhea" (pp. 1243-1251)
  • This chapter describes characteristics of three types of infectious diarrhea and identifies the pathophysiology, clinical presentation, treatment options, and possible causes of the disorder.

 American Liver Foundation (n.d.). Retrieved November 28, 2012, from (n.d.). Retrieved November 28, 2012, from 

 Institute for Safe Medication Practices. (n.d.). Retrieved November 28, 2012, from

 National Digestive Diseases Information Clearinghouse. (n.d.). Retrieved November 28, 2012, from

Top Answer

The differential diagnosis will include malabsorption due to the history of weight loss in the past six months. Malabsorption... View the full answer

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