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March 15, 2024

A 35-year-old recent immigrant who is uninsured returns for follow up. She has a history of SLE treated with NSAID

A 35-year-old recent immigrant who is uninsured returns for follow up. She has a history of SLE treated with NSAID therapy and presented four weeks ago with “heartburn”. At that time, she reported episodic, post-prandial epigastric burning without radiation for three months. She reports no nausea, vomiting, melena, weight loss, or fever, and physical exam was significant only for mild epigastric tenderness. Serologic testing for H. pylori IgG was positive, and she began triple therapy, which she completed successfully. Today she reports resolution of symptoms and physical exam is negative for epigastric tenderness. Which of the following is an appropriate test to confirm H. pylori eradication? Choose the single best answer. A. Endoscopy with biopsy B. Repeat serology C. Stool antigen D. Testing for eradication is not indicated E. Wait another 8 weeks before testing

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