07-08-2008, 07:09 AM
A 41-year-old male presents to his family physician for heartburn, dull abdominal pain and diarrhea with foul smelling, bulky stool. He drinks 2 cans of beer every evening. He states that he has had these symptoms intermittently since 5 years. He has tried H-2 blockers without any relief. He also has right flank pain which radiates to groin. urinalysis shows RBC. He has an extensive family history of peptic ulcer disease. Physical exam is unremarkable. What is the most likely diagnosis in this patient?
A. Gastric ulcer
B. Chronic pancreatitis
C. Duodenal ulcer
D. GERD
E. Gastrinoma
A. Gastric ulcer
B. Chronic pancreatitis
C. Duodenal ulcer
D. GERD
E. Gastrinoma