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A 76 year-old man with a long history

NUR4286 Gerontology and End of Life

Week 2 Chapter 7 Case Study

A 76 year-old man with a long history of peptic ulcer disease has become increasingly fatigued and short of breath over the past three weeks. He complains of a dull pain below his sternum that is worse following meals. On physical examination he looks pale and has a slightly elevated heart rate.

1. What might be this man’s diagnosis?

2. Suggest some possible explanations for his shortness of breath and elevated heart rate

3. From a physiologic standpoint, why might he be more difficult for this man to compensate for his current problem than it would be for a 30 year-old man? In your answer, explore possibilities from at least three different organ system.

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