A 35-year-old male presents with unexplained weight loss, fatigue, and occasional bouts of dizziness. He mentions having regular heartburn and occasional nosebleeds. His blood pressure is slightly elevated at 140/90 mmHg. What are the next steps?
This case is complex due to the array of seemingly unrelated symptoms. Unexplained weight loss, fatigue, and dizziness could be due to many systemic conditions including malignancies, endocrine disorders, and cardiovascular diseases. Heartburn could be indicative of gastroesophageal reflux disease (GERD), while occasional nosebleeds might be unrelated or could suggest a clotting disorder. The next steps would be a complete physical examination, comprehensive blood work including complete blood count, thyroid function tests, blood glucose levels, and a coagulation panel. An ECG would be needed to evaluate for possible cardiovascular conditions causing the dizziness. Further tests would be guided by these initial findings.