A 50-year-old man has epigastric pain and unintentional weight loss of 12 lb over 2 months. He has early satiety and occasional vomiting. Hemoglobin

Question

A 50-year-old man has epigastric pain and unintentional weight loss of 12 lb over 2 months. He has early satiety and occasional vomiting. Hemoglobin is 10.4 g/dL. He has no prior endoscopy. Which of the following is the most appropriate at this time?

Accepted Answer

Upper endoscopy

Answer

Abdominal radiograph

Answer

Breath testing without endoscopy

Answer

Empiric antacid therapy for 12 months

Answer

Reassurance and diet diary

Dyspepsia with alarm features — USMLE Step 3 MCQ

A 50-year-old man has epigastric pain and unintentional weight loss of 12 lb over 2 months. He has early satiety and occasional vomiting. Hemoglobin is 10.4 g/dL. He has no prior endoscopy. Which of the following is the most appropriate at this time?