What is the most appropriate test to establish the diagnosis? Upper endoscopy, Computed tomography (CT) scan of the abdomen, Barium swallow, Helicobacter pylori (H. pylori) antibod... What is the most appropriate test to establish the diagnosis? Upper endoscopy, Computed tomography (CT) scan of the abdomen, Barium swallow, Helicobacter pylori (H. pylori) antibody test.
Understand the Problem
The question is asking which diagnostic test is most suitable for a patient presenting with symptoms consistent with a gastrointestinal issue, specifically considering the patient's epigastric pain after eating, which improves with antacids. This situation typically points towards conditions like peptic ulcers or gastritis, and the question provides options for different diagnostic tests to consider.
Answer
Upper endoscopy
The most appropriate test to establish the diagnosis is an upper endoscopy.
Answer for screen readers
The most appropriate test to establish the diagnosis is an upper endoscopy.
More Information
An upper endoscopy, also known as esophagogastroduodenoscopy (EGD), is often the most accurate test for diagnosing conditions like H. pylori infection and stomach cancer, as it allows for direct visualization and biopsy of the gastrointestinal lining.
Tips
A common mistake is to choose non-invasive tests like the H. pylori antibody test or barium swallow when direct visualization and biopsy are needed.
Sources
- Stomach Cancer Diagnosis and Tests - NCI - cancer.gov
- H. pylori Infection: Symptoms, Causes, and Treatment - WebMD - webmd.com
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