Are you sure you want to trigger topic in your Anconeus AI algorithm?
5.0 of 6 Ratings
Please rate this review topic.
You have never rated this topic.
Thank you. You can rate this topic again in 12 months.
A 45-year-old woman has a history of mild epigastric pain, which seems to have gotten worse over the last month. Her pain is most severe several hours after a meal and is somewhat relieved with over-the-counter antacids. The patient denies abnormal tastes in her mouth or radiating pain. She does not take any other over-the-counter medications. She denies bleeding, anemia, or unexplained weight loss, and denies a family history of gastrointestinal malignancy. Which of the following is the best next step in the management of this patient?
Urease breath test
Empiric proton pump inhibitor therapy
Upper endoscopy with biopsy of gastric mucosa
Esophageal pH monitoring
Select Answer to see Preferred Response
A 40-year-old man presents to clinic three weeks after undergoing a total hip replacement. He complains of chronic nausea, epigastric pain and occasional melena, and notes that he has been taking celecoxib for pain control since his surgery. An esophagogastroduodenoscopy is performed, and a biopsy is taken of an erythematous area of the antrum of the stomach (Figure A). What treatment is recommended in this patient?
Sulfasalazine and corticosteroid therapy
Gluten free diet
Omeprazole, clarithromycin and amoxicillin
Intramuscular intrinsic factor injection