Question

A 50-year-old woman presents with chronic epigastric pain and iron deficiency anaemia. She is taking NSAIDs regularly. According to Canadian dyspepsia and GI bleeding principles, which investigation is most appropriate?

Accepted Answer

Upper endoscopy to evaluate for peptic ulcer disease and malignancy

Answer

Empirical PPI therapy only

Answer

Helicobacter pylori stool antigen test only

Answer

CT abdomen with contrast

Answer

No investigation is required; reassure

Practice question

A 50-year-old woman presents with chronic epigastric pain and iron deficiency anaemia. She is taking NSAIDs regularly. According to Canadian dyspepsia and GI bleeding principles, which investigation is most appropriate?