Question

A 34-year-old man presents with epigastric pain and melaena. He has been taking ibuprofen regularly. Hb 86 g/L, urea 12 mmol/L. What is the most appropriate first-line test to establish the diagnosis?

Accepted Answer

Urgent oesophagogastroduodenoscopy (OGD)

Answer

Stool antigen for H. pylori

Answer

Helicobacter serology

Answer

Faecal occult blood test

Answer

Abdominal ultrasound

Practice question

A 34-year-old man presents with epigastric pain and melaena. He has been taking ibuprofen regularly. Hb 86 g/L, urea 12 mmol/L. What is the most appropriate first-line test to establish the diagnosis?