Case 1 of 9Undifferentiated PresentationsWeight loss (e.g., malignancy)
A 71-year-old man presents with an 8 kg unintentional weight loss over 4 months, early satiety and fatigue. He has no fever, cough, vomiting or change in bowel habits, and his only medications are ramipril and atorvastatin. On examination he is pale, with mild epigastric fullness and no palpable lymph nodes. Laboratory results show hemoglobin 98 g/L (130-170), MCV 71 fL (80-100), ferritin 9 µg/L (30-400) and albumin 33 g/L (35-50).
| Heart rate | 88/min |
| Respiratory rate | 16/min |
| Temperature | 36.8 °C |
| O2 saturation | 97%, room air |
| Blood pressure | 118/72 mm Hg |
Question 1 of 28
Which one of the following is the most appropriate next step in management?
Select 1. (0 / 1 selected)
100%
AMirtazapine PO
BUpper endoscopy with biopsy
CFerrous sulfate PO and reassess in 3 months
DPantoprazole PO twice daily for 8 weeks
EHelicobacter pylori stool antigen test, then treat if positive
FDietitian referral alone
GMegestrol acetate PO
HNabilone PO
IDomperidone PO
JColonoscopy alone
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