Questions for Discussion:

1. Construct a reasonable problem list for this patient. What is the differential diagnosis? Discuss the likely diagnosis and defend it by citing reasons from the protocol and the readings. Answer
2. What further studies would you consider to establish the diagnosis? Answer
3. What is the pathophysiologic mechanism producing this disorder? Answer
4. What is the role of Helicobacter pylori in this disorder? Answer
5. What treatments are available for this patient? Answer
6. What complication of this disorder has already occurred ? What other complications are possible? Answer

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