A School-Age Child Has a 3-Month History of Dull, Aching

question 3

Multiple Choice

A school-age child has a 3-month history of dull, aching epigastric pain that worsens with eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8 mg/dL. What is the next step in management?

• A) Administration of HRA or PPI medications
• B) Empiric therapy for H. pylori (HP)
• C) Ordering an upper GI series
• D) Referral for esophagogastroduodenoscopy (EGD)

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