32-year-old Man in Medicine / Internal Medicine — 32yo Man | Gastroenterology | SMLE Q#17121
SMLE Question #17121
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 32-year-old man has 4 months of progressive fatigue, loose bulky stools, and 10-kg unintentional weight loss. Examination shows mild bilateral lower-extremity pitting edema and a distended, nontender abdomen. Qualitative stool testing shows mildly increased fat content. No upper endoscopy has been done yet. What is the most appropriate next step in management?
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