A 58-year-old male visits his primary care provider. When the primary care provider asks for the patient’s chief complaint, he states, “After eating, I experience painful heartburn. It has been persistent for the past three years and feels like it is getting worse. Sometimes, it even wakes me up at night.” The man is six feet tall and 235 pounds; his BMI is 32. His smoking exposure is 10 pack-years. He also indicated that he feels fluid in the back of his throat after dinner and cannot enjoy his evening glass of wine. He has been experiencing a cough and occasional wheezing. The patient communicates that his current medication, esomeprazole (Nexium), does not seem to be helping anymore even though he takes it after every meal. Based on this information, answer the following questions. 1.) What is the likely medical diagnosis for this patient? (1pt) 2.) What assessment data supports this conclusion? (1pt) 3.) What diagnostic tests would be appropriate for this patient? (1pt) 4.) Why does the patient’s heartburn worsen after meals and at night? (1pt) 5.) Explain the relationship between the patient’s diagnosis and the respiratory symptoms he is experiencing. (1pt) 6.) What education can the registered nurse provide to the patient based on the above information? (1pt)
[Expert Solution]: A 58-year-old male visits his primary care…
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