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Gastro Intestinal Infections
Dr Patsy Lill
Professor Emerita
University of South Carolina School of Medicine
Chronic
Fatigue
A 56-year-old man presented complaining of chronic fatigue. Physical
examination was normal except for some pallor of the nail beds. History
elicited complaints of a sharp, burning epigastric pain after eating
which was relieved by fasting. Some relief was obtained by OTC antacids.
Lab studies showed a hypochromic, microcytic anemia. Iron therapy was
begun. Barium swallow studies showed a defect in the mucosa of the
duodenum. Below is an image of duodenum from a similar case.
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