Consistent discomfort and significant weight loss

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A 61-year-old American woman was referred to a Gastroenterology Clinic from primary care provider due to consistent discomfort and significant weight loss. She looked for a PCP's advice as she had a tarry stool in the early morning which she had never experienced before. She presented with a 2-month history of burning pain in the epigastric abdomen and chest which radiated toward her back. Her pain worsened after taking aspirin and drinking coffee, and was relieved after taking antacids. She had previously lost 10 pounds in 2 months due to decreased intake caused by the feeling of bloating, early fullness and stomachaches between meals. She also reported nausea and vomiting. She expressed concern especially because the food appeared undigested when she vomited. She also reported doubling her NSAID intake due to increased knee pain. She looked pale and exhausted when she entered the clinic. Vital Signs and Measurements BP: 135/85 mm Hg HR: 99 bpm RR: 21 b / min Temperature: 36.1 ? Pulse oxygenation: 99% Height: 167 cm Weight: 58.2 kg Past medical history Gastritis with Helicobacter pylori (H. pylori) infection, diagnosed 5 years ago. 2. What are two ways that the team could rule in or out GERD?

Reference no: EM133805271

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