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Surgery General 492c66ab

An otherwise normal female presents with symptoms of flatulent dyspepsia. She was staed on proton pump inhibitors, which controlled her symptoms. The next step in management of this condition should be:

A
Immediate laparoscopic cholecstectomy
B
Laparotomy after 1 or 2 months
C
Wait and watch
D
Endoscopic retrograde cholangiopancreatography
High-Yield Explanation
A Flatulent dyspepsia is usually a symptom of Gall stone disease but if it responds to a proton pump inhibitors then it is more likely to result from reflux or peptic ulcer disease. Ref: Current Diagnosis and Treatment in Gastroenterology, 2002, Page 774; Non-ulcer Dyspepsia: Pathophysiological and Therapeutic Approaches By J. P. Galmiche; Harrison's Internal Medicine, 17th Edition, Page 1899

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