Thus, at age 65, Mr. H is at risk for colorectal cancer. Furthermore, Mr. H’s bloody stools, hemoccult positive stool, weight loss, constipation, and abdominal pain are worrisome for cancer and possible intestinal obstruction by tumor. Therefore, based on this clinical presentation and the life-saving importance of early detection, Mr. H should first be evaluated for colon cancer by colonoscopy.
Gastric and duodenal ulcers can also cause epigastric abdominal pain and bloody stools, secondary to gastric bleeding. “The symptoms of gastric and duodenal ulcers are similar…[both are] characterized by epigastric pain 1 to 3 hours after a meal, or that awakens the patient at night” (Ruben, 567). Heartburn, nausea, and weight loss can also occur with gastric and duodenal ulcers. Although Mr. H does not associate his abdominal pain with food or meals, his pain does wake him up at night. Furthermore, Mr. H’s abdominal pain onset 2 months after discontinuing Protonix, and he has experienced heartburn, nausea, bloody stools, and weight loss, all of which can be associated with gastric and duodenal ulcers. Therefore, gastric and duodenal ulcers should be considered next in the differential (Ruben, 567-568)
To write a cause and effect essay, you’ll need to determine a scenario in which one action or event caused certain effects to occur . Then, explain what took place and why! This essay allows us to identify patterns and explain why things turned out the way that they did. How do I choose a topic and get started? Try choosing a major event, either in your own life or an event of historical significance. For example, The Great Depression . Cause of The Great Depression: stock market crash How would we elaborate? We'd discuss the behaviors, carelessness, errors, and even cultural attitudes that led to the crash—explaining why it was devastating. Effects of the Great Depression: joblessness & poverty What should we say about the effects?