Mr. Brown, a 50 year-old male who comes into your office today complaining of a constant burning pain in his stomach a couple of hours after he eats. He states that he was seen in the emergency room 2 days ago for the same complaint and was given something called a GI cocktail which relieved his symptoms. Mr. Brown reports that he enjoys coffee every morning with breakfast and sometimes in the afternoon with a donut. A review of his records show that acute coronary syndrome was ruled out in the emergency room 2 days ago. His last stress test was 6 months ago, which was negative. EKG in the office today is normal.
Past Medical History: Obesity and High Cholesterol.
Surgical History: None.
Family history: Unknown he is adopted
Social History: Smoker x 10 years 1ppd, drinks 2-4 beers a day and ½ pack on the weekends. Denies recreational drugs, does not exercise.
Drug allergies: NKDA
Current medications: None
All vaccines are up to date.
Vitals Height 69 inches, weight 205 pounds, BP 120/75, P 70, R 16.
Mr. Browns physical exam is normal, including the abdominal exam.
The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of discussions provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the discussion generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. Discussions foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.
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