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April 12, 2024

A 42-year-old man has been living in the United States for 6 years after migrating from Somalia. His medical history

A 42-year-old man has been living in the United States for 6 years after migrating from Somalia. His medical history includes treatment for latent tuberculosis. He takes no routine medications and has no allergies. He presents to the clinic with complaints of nausea, stomach burning, bloating, and burping. He states he has had the issues for a “long time.” He has not tried any medications for his reported symptoms. He does not smoke or drink alcohol. He reports no weight loss, vomiting, diarrhea, or hematochezia. When providing culturally competent care, which of the following differential diagnoses is high on your list of concerns based on this patient’s ethnicity? Celiac disease Helicobacter pylori Inflammatory bowel disease Irritable bowel syndrome

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