How to Answer Douglas Kelly Male Questions (Complete Guide)
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Original Question
Douglas Kelly, a 46 yo male comes in to the clinic complaining of Abdominal pain with occasional nausea. He has a history of Back pain & GERD that is well controlled with OTC ibuprofen & Rolaids. His abdominal pain has been getting more frequent, almost daily, & more intense. It comes on about 2 hrs after eating & radiates to his back. He has been under a lot of stress lately at work & has not been watching his diet closely, & drinking 4 cups of coffee to stay awake since he hasn’t been sleeping as well due to the pain. He works for UPS where he does lots of lifting & bending that aggravates his back pain. His exam is unremarkable except for epigastric tenderness & back pain with movement. You suspect he has a back strain & PUD. 1) How would you treat this patients PUD as a 1st , 2nd, 3rd line agent based on guidelines? 2) Are there any labs you’d like to order to make a diagnosis, rule out sequelae, & other etiologies of PUD? 3) How would you treat this patients back pain using 1st 2nd, 3rd line agents? 4) Are there any labs or studies you might consider before ordering medication to treat his back pain. Part B: Write prescription
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