Essentials of Human Anatomy & Physiology (12th Edition)
Essentials of Human Anatomy & Physiology (12th Edition)
12th Edition
ISBN: 9780134395326
Author: Elaine N. Marieb, Suzanne M. Keller
Publisher: PEARSON
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Chapter 4, Problem 29CT

Mr. Rossi, a fisherman in his late sixties, comes to the clinic because he has small ulcers on both fore-arms as well as on his face and ears. Although he had had them for several years, he has not had any other problems. What is the likely diagnosis, and what is the likely cause?

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Mrs. Vera W. is a 60-year-old white woman, who emigrated from Germany to the United States at the age of 18. She has come to her primary care physician's office with her daughter. She tells you, "My daughter made me come here because I have had bad stomach pains for about 6 weeks." After you ask about the character, onset, location, duration, severity, and pattern of the pain as well as associated symptoms (COLDSPA), such as what relieves the pain and what unctions are affected by pain, you learn the following information. The pain is aching epigastric pain, fairly continuous, and worse at night. It radiates to her back when she lies down. The pain gets progressively worse, is not affected by eating, and interferes with her daily function (it prevented her from attending her grandson's birthday party and it also wakes her up at night). In addition, in the interview, Mrs. W. relates loss of appetite, mild nausea, heartburn, and fatigue. For the past several months she has felt full soon…
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Essentials of Human Anatomy & Physiology (12th Edition)

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