Case study: Stomach ulcers in the context of tricuspid atresia—“I can barely stomach it”

This case study focuses on the evaluation of a patient with both upper and lower gastrointestinal (GI) complaints in the outpatient setting, that is, how the evaluation skipped over several crucial diagnostic steps, and how this impacted the patient. Special care is given to the patient’s...

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Main Authors: Thomas C. Varkey, Chloe-Marie Lee Roeder, Rachel Elizabeth Daum, Sajana Ravi, Emily C. Courtois, Kyle Simtion, Caitlyn Simtion, Cheney E. Merhavy, Zachary I. Merhavy, Teresa C. Frohman, Elliot M. Frohman, Christie Spann
Format: Article
Language:English
Published: Academia.edu Journals 2023-09-01
Series:Academia Medicine
Online Access:https://www.academia.edu/106874978/Case_study_Stomach_ulcers_in_the_context_of_tricuspid_atresia_I_can_barely_stomach_it_
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Summary:This case study focuses on the evaluation of a patient with both upper and lower gastrointestinal (GI) complaints in the outpatient setting, that is, how the evaluation skipped over several crucial diagnostic steps, and how this impacted the patient. Special care is given to the patient’s perspective, differential diagnosis, recommended laboratory testing, and their corresponding costs, taking on a patient-centered approach to the evaluation, diagnosis, and treatment of illness. In this case, sufficient medication history was not obtained, causing the patient to undergo an expensive and unnecessary procedure. Acquiring this information is the cornerstone of an effective patient-physician relationship. Based on the history, a standardized diagnostic approach can be employed, given the likelihood of certain diagnoses. Often, the workup should start with less invasive and expensive tests. However, it is important to consider each isolated case, as a more aggressive approach may be indicated in certain instances. Special attention to communication between the patient and provider is key in ensuring that the patient understands what is happening in their medical care, which improves their communication with relevant information to the care provider, and through such understanding, our patients are better able to provide informed consent.
ISSN:2994-435X