Mr. R is an 89 yo patient that you are seeing in the clinic….

Mr. R is an 89 yo patient that you are seeing in the clinic.  He has a history of coronary artery disease, and a previous stent to his Right iliac artery, he smokes 1.5 ppd for 25 years.  You comment that he has lost about 10 pounds since his last visit, and you ask what he has been doing to lose weight.  He notes that he has been eating less because over the last three months he has had increased abdominal cramping starting about 30min to 1 hour after meals.  The NP knows that because of his history of coronary artery disease and peripheral arterial disease, Mr. Rs symptoms could be related to: