a 61-year-old man with dyspepsia and weight loss一个61岁的老人与消化不良和体重减轻.pdf

Open access, freely available online Learning Forum A 61-Year-Old Man with Dyspepsia and Weight Loss Catherine Burton D E S C R I P T I O N o f C A S E Table 1. World Health Organization Performance Status Score Functional Ability 61-year-old male carpenter presented with ten months’ 0 Able to carry out all normal activity without restriction history of dyspepsia. More recently he had developed 1 Restricted in physically strenuous activity but ambulatory Aepigastric pain and had lost four kilograms in weight and able to carry out light work because of anorexia. He was otherwise asymptomatic and 2 Ambulatory and capable of all self care but unable to carry in particular there was no history of nausea, vomiting, out any work; up and about more than 50% of waking hours abdominal distension, melaena, haematemesis, diarrhoea, 3 Capable only of limited self care; confi ned to bed or chair constipation, night sweats, or fevers. There was no past more than 50% of waking hours medical history of note, and he had a performance status of 4 Completely disabled; cannot carry out any self care; totally zero (see Table 1). His only medication was lansoprazole. He