A 38-year-old woman presents with melena and a burning pain in the mid-epigastric area two to four hours after eating. Abdominal pain is also reported during night time. Pain is usually relieved by food intake. The patient has a diagnosis of:
  1. Dumping syndrome
  2. Gastric ulcer
  3. Duodenal ulcer
  4. Chronic gastritis
Explanation
Answer - C - Based on the findings, the patient has a duodenal ulcer. Dumping syndrome symptoms occur about 30 minutes after eating. Gastric ulcer symptoms, unrelieved by food intake, occur one to two hours after eating. Chronic gastritis involves belching, heartburns, and a sour taste in the mouth.
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