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A 45-Year-Old Man Comes to the Office Due to a 1

question 30

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A 45-year-old man comes to the office due to a 1 year history of abdominal pain and greasy stools.  He has also noticed a 7-kg (15.4-lb) weight loss over the past 6 months.  Medical history is significant for several years of joint pain in his knees and wrists but is otherwise unremarkable.  The patient does not use tobacco or alcohol.  After an initial workup, a duodenal biopsy is performed.  Microscopic examination shows numerous macrophages in the lamina propria filled with inclusions positive for periodic acid-Schiff stain.  Which of the following is the most appropriate treatment for this patient?


Definitions:

Producer Surplus

The difference between what producers are willing to sell a good for and the actual price they receive, representing profit.

Import Restrictions

Measures by governments to control the quantity or quality of goods and services coming into a country to protect domestic industries from foreign competition.

Japanese Manufacturers

Refers to companies based in Japan that are involved in the production of goods across various industries, known for innovation and quality.

Profit Margins

The percentage of revenue that remains as profit after all costs and expenses are subtracted from total sales.

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