History of new onset epigastric pain

Reference no: EM133693786

Question

A 60 year-old man with a 50 pack year cigarette smoking history, presents with a 4 month history of new onset epigastric pain. His symptoms are consistent with peptic ulcer disease. His PE is unremarkable except, mild pharyngeal erythema and mild epigastric tenderness without rebound. Which of the following would you recommend? GI referral for upper endoscopy Test for H pylori and treat accordingly Esophageal pH monitoring Treat for H. pylori with quadruple therapy GI referral for upper endoscopy.

Reference no: EM133693786

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