The patient has a long history of insulin dependent diabetes
mellitus, hypertension and gout, but now has 2 months of increasing weakness,
fatigue, and anorexia associated with a 60 lbs weight loss. He has had no
abdominal pain, nausea, vomiting or change in bowel habits. He noted intermittent
black tarry stools over the the past week but no hematemesis or hematochezia.
He had had flexible sigmoidoscopy 2 months ago at an outside hospital which
revealed uncomplicated diverticular disease.
Previous Medical Diagnoses, Hospitalizations,
and Operations:
