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A 28-year-old man who lives in a small rural township is admitted to the hospital because of gastrointestinal bleeding. On admission the patient is pale and has orthostatic hypotension. Hemoglobin concentration is 8 g/dL. His condition is stabilized. Emergent upper endoscopy shows a visible gastric vessel, which is treated appropriately.
Item 1 of 2

Specific additional history should be obtained regarding which of the following?

A) Consumption of alcoholic beverages
B) Family history of cancer
C) Source of drinking water
D) Travel history
E) Use of tobacco products

Item 2 of 2

Which of the following is the most appropriate laboratory study?

A) Antibodies for Helicobacter pylori
B) Vitamin B12 (cyanocobalamin) concentration
C) Ferritin concentration
D) Gastrin concentration
E) Iron concentration

A
B

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Pat 123

can you pl explain why B

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C.
A.

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he is too young to develop vericeal disease.....that too without h/o alcohol.....since he is a rural patient....Hb of 8 means chronic h/o bleeding.....pale n orthostatic hypotension means volume depletion in this case........he seems to be a c/o Iron deficiency due to infection probably Hookworm......
answer to first is C......
since this guy is having iron deficiency anemia i will further like to do iron studies....e....
I might be thinking wrong.....correct me with reference......
there is no indication of alcohol history.....we cant just presume it......

AA

EE