Vintage Poster
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Ms. Suntan, a 36 year old white woman, lives on Hawaii's big island.
A hard-working Hawaiian tropics model and photographer, she comes to see you
becasue of severe indigestion, loss of appetite, fatigue, and a ten pound weight
loss during the past month.
Her current medications include a daily multivitamin,
omeprazole 20 mg PO daily since she was in high school.
She has smoked one pack of cigarettes per week for four years,
and eats fast food and pineapple every day.
She lives with her 68-year-old father Mr. Suntan, who has suffered
from similar symptoms for the past five years. He is a professional surfer
and surf instructor and has never sought medical attention.
A complete physical exam is remarkable only for some mild epigastric tenderness
on palpation. CBC and routine chemistries are normal.
Which of the following are you really considering?
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