Persistent Fatigue and Intermittent Abdominal Discomfort

A 52-year-old male presents with persistent fatigue, unexplained weight loss of 15 pounds over the past 3 months, and intermittent abdominal discomfort. He reports occasional changes in bowel habits, including periods of diarrhea followed by constipation. He denies any overt blood in his stool but notes that his stool has been dark at times. His medical history includes hypertension and hyperlipidemia. He has a 30-pack-year smoking history and consumes alcohol socially.

Questions

  1. Differential Diagnoses
    What are the potential differential diagnoses based on this presentation? Prioritize these diagnoses based on the patient’s risk factors and clinical symptoms.
  2. Diagnostic Workup
    What diagnostic tests would you order to differentiate between these diagnoses? Explain the rationale for each test.
  3. Treatment Plan
    Develop a comprehensive treatment plan for the most likely diagnosis, considering the patient’s age, comorbidities, and potential side effects.
  4. Patient Education
    What important information should you provide to the patient and their family regarding the diagnosis, treatment, and prevention of further episodes?

For peer response answer this:

  • What follow-up plan should be established to monitor treatment response and ensure early detection of recurrence or progression?

How will you coordinate with oncology or gastroenterology specialists to ensure seamless management and support for the patient?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

 

persistent fatigue and intermittent abdominal discomfort

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