Abdominal pain-general weakness and decreased appetite

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Reference no: EM133804412

Question

A 43-year-old woman comes to the office due to abdominal pain, general weakness, decreased appetite, and dizziness. She says the pain is "ruining my life" and is worried that her previous physicians may have missed something. Over the past several years. the patient has been haspitalized 3 times with similar symptoms. No etiology for the pain has been identified despite extensive workups, including several abdominal CT scans and an exploratory laparotomy. The patient describes chronic abdominal pain since adolescence and is concerned as the non-prescription analgesics she takes are ineffective. She has no history of psychiatric diagnoses or substance abuse. Physical examination. vital signs, and laboratory tests, including chemistry panel, complete blood count, and urinalysis, are within normal limits. Which of the following is the most appropriate course of action? Prescribing an opioid analgesic ? Gastroenterolozy consult ? Scheduling egular outpaticnt office visits ? Repeat abdominal CT scan ? Medical hospitalication.

Reference no: EM133804412

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