Postpandial abdominal pain with bloating and flatulence

Reference no: EM133708013

Question

A 21-year-old Caucasian woman presents due to weakness, fatigue, palpitations, and postpandial abdominal pain with bloating, flatulence, and occasional diarrhea with voluminous stools. She received oral iron for iron-deficiency anemia 4 years ago but says she has been feeling weak again. Three months ago, pruritic papules and vesicles appeared on both elbow surfaces. Her family history is unremarkable. Vital signs are within normal ranges. On physical examination, there is noticeable skin pallor. Excoriated papules and blisters are seen on both elbows. The remainder of the examination is normal. A complete blood count shows the following: Ht 31% Hb 9.8 g/dL MC 78 fl MCHC: 25 g/dL WBC 8.200 /mm3. w/ normal differential iron 54 g/dL ferritin 5 g/dL. f 4.

Reference no: EM133708013

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