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Tuesday, April 7, 2009
51-year-old female with severe ulcerative disease despite aggressive proton pump inhibitor therapy. The patient had several episodes of upper gastrointestinal bleeds, and presented with a perforated duodenal ulcer.
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Based on the CT images, nuclear medicine scans, and upper GI study, what is the best diagnosis?
A
VIPoma
B
Carcinoid syndrome
C
Gastrinoma
D
Gastric cancer
Explanation
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