Chief Complaint: Extreme fatigue and pain in joints
Western Diagnosis: Adenocarcinoma of the Stomach
Medical History: Patient is a 67 year old male that outside of the diagnosis appears to be in good health. Blood panels are unremarkable. MRI reveals tumor of approximately 18 inches in diameter. Tumor is causing local as well as referred pain into the inguinal region.
Questioning exam: Most questions and answers were based upon the MRI findings. Surprisingly, his pain is not that severe. Has indigestion and diarrhea frequently, but better with medication (prilosec).