MRCP2-2123
A 35-year-old man presents to the Emergency Department for review. He is experiencing increasing difficulty with heartburn and acid reflux. He has tried elevating his head while sleeping, but this has not provided relief. On examination, his blood pressure is 120/80 mmHg and his pulse is 80 bpm and regular. His abdomen appears normal.
Investigations:
Investigations Results Normal Values
Haemoglobin (Hb) 140 g/l 130–170 g/l
White cell count (WCC) 6.5 × 109/l 4–11 × 109/l
Platelets (PLT) 200 × 109/l 150–400 × 109/l
Sodium (Na+) 142 mmol/l 135–145 mmol/l
Potassium (K+) 4.2 mmol/l 3.5–5.0 mmol/l
Creatinine 80 µmol/l 60–110 µmol/l
Glucose 5.0 mmol/l 3.5–5.5 mmol/l
Urine: Protein negative, blood negative
What is the most appropriate course of action for this patient?