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Clinical Case . A 67y old man with DM and HTNAnorexia, weight loss (8kg), early satiety and intermittent melena during the last 3 monthsPhys Exam: Paleness, mild tachycardia (100), epigastric tendernessCBC: mild leukocytosis (11,500) with 78% ANC. mild anemia (Hb=11.7) with low MCV/MCHSM
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1. Gastric and Pancreatic Cancers: Treatment in 2009 Baruch Brenner, MD
Davidoff Cancer Center
Rabin Medical Center
2. Clinical Case A 67y old man with DM and HTN
Anorexia, weight loss (8kg), early satiety and intermittent melena during the last 3 months
Phys Exam: Paleness, mild tachycardia (100), epigastric tenderness
CBC: mild leukocytosis (11,500) with 78% ANC.
mild anemia (Hb=11.7) with low MCV/MCH
SMA: normal aside of slight elevation of LDH (500)
3. Question What’s the next study?