Clinical Scenario
It’s a busy Monday morning in ED.
A doctor at the phone – calls the nurse – there’s a primary care physician.
Hi – says a voice on the other side – I’m in a patient’s home.
He’s a 40 yo man with dyspepsia, his wife refers weight loss of about 10 Kg in the last three months. He is pale, but not tachicardic, abdomen is treatable, on rectal examination I find normal stool.
I’m warried he probably has a gastric cancer, Is it possible to schedule an urgent gastroscopy for this morning?