Stephen Wallace, MD

Derungs Licht AG



Middle-aged Woman With Malaise and GI Complaints

December 31, 2006

A 56-year-old African American woman complains of malaise, nausea, and vomitingof several weeks’ duration. In addition, urinary output is reduced, and shehas mild dyspnea. She denies abdominal pain, diarrhea, constipation, and bonepain; however, she has had a mild but persistent backache for several months.