A man in his 70s with a medical history of noninvasive bladder cancer presented to his primary care clinic with significant weight loss. He had lost 30 pounds unintentionally during the previous 6 months, which he attributed to poor appetite. He denied dysphagia, abdominal pain, diarrhea, melena, hematochezia, and urinary abnormalities; the remainder of his review of systems yielded negative results. Bladder cancer had been diagnosed 9 years prior and treated surgically; surveillance cystoscopy with biopsy 1 year prior had yielded normal results. Subsequently, he was lost to follow-up.
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Pedley N, Khalili J. The Importance of Obtaining Sexual History in Older Adults: A Teachable Moment. JAMA Intern Med. 2019;179(12):1708–1709. doi:10.1001/jamainternmed.2019.4480
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