Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several months and takes Tums® with temporary relief. He has been waking during the night with a burning sensation in his chest. Which additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain?
a) The pain seems better when he smokes to relieve his nerves.
b) Coffee and fried foods don’t bother him,
c) He wakes at night coughing with a bad taste in his mouth.
d) All of the above
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis?
a) Very early
b) 3 to 4 hours after perforation
c) Late in inflammation
d) Appendicitis never presents with vague pain.
A patient is seen with complaints of diarrhea. Which of the following should be included in the patient’s differential diagnosis?