Good afternoon, Robert. What’s been going on?, I’ve lost about 15 pounds in the last two months without trying. I also feel nauseous most mornings., How long have you been experiencing abdominal discomfort or pain?, It started subtly about three months ago., Have you had any episodes of vomiting or nausea?, Mostly nausea, not much vomiting., Have you lost any weight unintentionally?, Yes, that's what worries me., Have you been taking any medications regularly for your symptoms?, No, just occasional antacids., Your bloodwork shows low albumin and elevated tumor markers. Have you been eating smaller portions lately?, Yes, I feel full after a few bites., Have you developed any food intolerances recently?, I can’t tolerate greasy foods anymore., Have you been avoiding any foods because of that?, Yes, fatty foods and red meat., These signs are concerning. We need imaging and endoscopy to rule out any malignancy or serious GI conditions.

CASE STUDY 4, ROBERT

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