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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Academia.edu Journals
2023-09-01
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| 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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| author | 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 |
| author_facet | 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 |
| author_sort | Thomas C. Varkey |
| collection | DOAJ |
| description |
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. |
| format | Article |
| id | doaj-art-4762b1a4670845138b56df12a423569c |
| institution | Kabale University |
| issn | 2994-435X |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Academia.edu Journals |
| record_format | Article |
| series | Academia Medicine |
| spelling | doaj-art-4762b1a4670845138b56df12a423569c2025-02-11T23:28:29ZengAcademia.edu JournalsAcademia Medicine2994-435X2023-09-011110.20935/AcadMed6124Case study: Stomach ulcers in the context of tricuspid atresia—“I can barely stomach it”Thomas C. Varkey0Chloe-Marie Lee Roeder1Rachel Elizabeth Daum2Sajana Ravi3Emily C. Courtois4Kyle Simtion5Caitlyn Simtion6Cheney E. Merhavy7Zachary I. Merhavy8Teresa C. Frohman9Elliot M. Frohman10Christie Spann11Dell Medical School, The University of Texas at Austin, Austin, Texas, USA.Dell Medical School, The University of Texas at Austin, Austin, Texas, USA.Dell Medical School, The University of Texas at Austin, Austin, Texas, USA.Dell Medical School, The University of Texas at Austin, Austin, Texas, USA.Dartmouth College, Hanover, New Hampshire, USA.The DuBusk College of Medicine, Lincoln Memorial University, Harrogate, Tennessee, USA.The DuBusk College of Medicine, Lincoln Memorial University, Harrogate, Tennessee, USA.Dell Medical School, The University of Texas at Austin, Austin, Texas, USA.Dell Medical School, The University of Texas at Austin, Austin, Texas, USA.Distinguished Fellow (Sabbatical) in the Lawrence Steinman Laboratory, Stanford University, Stanford, California, USA.Distinguished Fellow (Sabbatical) in the Lawrence Steinman Laboratory, Stanford University, Stanford, California, USA.Dell Medical School, The University of Texas at Austin, Austin, Texas, USA. 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.https://www.academia.edu/106874978/Case_study_Stomach_ulcers_in_the_context_of_tricuspid_atresia_I_can_barely_stomach_it_ |
| spellingShingle | 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 Case study: Stomach ulcers in the context of tricuspid atresia—“I can barely stomach it” Academia Medicine |
| title | Case study: Stomach ulcers in the context of tricuspid atresia—“I can barely stomach it” |
| title_full | Case study: Stomach ulcers in the context of tricuspid atresia—“I can barely stomach it” |
| title_fullStr | Case study: Stomach ulcers in the context of tricuspid atresia—“I can barely stomach it” |
| title_full_unstemmed | Case study: Stomach ulcers in the context of tricuspid atresia—“I can barely stomach it” |
| title_short | Case study: Stomach ulcers in the context of tricuspid atresia—“I can barely stomach it” |
| title_sort | case study stomach ulcers in the context of tricuspid atresia i can barely stomach it |
| url | https://www.academia.edu/106874978/Case_study_Stomach_ulcers_in_the_context_of_tricuspid_atresia_I_can_barely_stomach_it_ |
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