Complaints of not seeming to be moving my bowels


Problem:

A 90 year old male presents to his primary care provider (PCP) with vague complaints of "not seeming to be moving my bowels as I should". The PCP asks him about his appetite and when he last moved his bowels. He then says "all old people worry about constipation - just get a stool softener and stop worrying", leaves the exam room, and considers the office visit finished. He then tells the medical student to go in the exam room and finish up the office encounter. This is an example of: Group of answer choices Guideline-concordant care for a complaint of constipation Implicit ageism on the part of the PCP Medicare evaluation and management activities Uncertainty in diagnosis and deferral to the medical student's diagnostic reasoning

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Other Subject: Complaints of not seeming to be moving my bowels
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