Nolan Young iHuman – NR 511 week 5 (60 y/o male abdominal pain)

$30.00

Nolan Young iHuman
60-year-old male patient with past medical history of hypertension and systolic murmur
Significant history includes 35 pack-year smoking and weekly alcohol use
Presents with epigastric pain ongoing for 6-8 months, worsening over last 2 months
Pain described as “burning and stabbing,” rated 6-7/10 in intensity
Pain relieved by eating and over-the-counter antacids; worsened by alcohol consumption
Reports unintentional weight loss, black tarry (melena), foul-smelling stools
Additional symptoms include lightheadedness and fatigue
Denies chest pain, fever, nausea, or vomiting
Daily use of NSAIDs for bilateral knee pain
Physical exam notable for epigastric tenderness, tachycardia, unchanged aortic stenosis murmur
Positive stool guaiac test indicating gastrointestinal bleeding
Pale conjunctivae suggesting anemia