71 malay male, retire teacher (16 years)

PCx
generalized abdo pain

sudden onset epigastric region radiating to back
started April
aggravated by eating --> induces vomitting to stop pain
last for 12 hours

other Sx review - unremarkable (no change in bowel habits)

1st went to clinic --> pain killers --> didnt do much --> 1 month still have condition

went to GH 3 days ago and was admitted

Ix
FBC
ECG
OGDS (pending)
stool sample

Ass Sx
19 kg lost with los appetite (6 month)

Ex
cachexic, mild palor, not jaundice
no stigmata of liver disease

no palpable mass, no abdo swelling

Task

1) defined anemia, common causes (devide into medical and surgical) and risk factors for developing anemia saree
(physiology of blood production and destruction, its just the same thing with causes, classify it in a systematic way)

2) clinical manifestation (sign n symptoms) maze

3) diagnosis (investigation - finding out causes of anemia) yazid

4) indication and complication of blood transfusion chris

5) describe Duke and TNM staging for bowel cancer and compare both of them christine

6) screening, prevention and prognostic factors of CA bowel alvin