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What if woman with obesity and hypothyroidism come clinic


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A 52-year-old woman with obesity and hypothyroidism presents to an urgent care clinic affiliated with her PCP's practice for rectal bleeding for the past 4 months. Initially, it happened about once a week during a bowel movement but was currently occurring daily with all bowel movements. She describes the blood as approximately 1 teaspoon, dark red, and mixed in the stool. She denies any associated rectal or abdominal pain, and her bowel movements are regular every day without change, although they do seem thinner, which she attributes to starting a low-carbohydrate diet 4 months ago. She relays a history of internal hemorrhoids after the birth of her daughter 20 years ago, with rare bleeding throughout the years that always improves within a day of applying over-the-counter hemorrhoid cream. Despite using this cream daily now, there has been no improvement in current symptoms. Though she was referred for colonoscopy screening at age 50, she never scheduled it because she was "afraid of the prep" and did not want to miss a whole day of work. She states she called her regular PCP 3 months ago about her bleeding. "He told to me that my insurance allows me to see the gastroenterologist Need Assignment Help?

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Other Subject: What if woman with obesity and hypothyroidism come clinic
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