Patients<55yearsold Patients55yearsoldandaboveorwithalarmfeatures
Duringclinicvisit Duringclinicvisit
Assessment Stronglyconsideredbasedonhistoryandphysical Stronglyconsideredbasedonhistoryandphysical
examination examination
Ageofpatient55yearsoldandaboveconsidered
Presenceofthefollowingalarmsymptomsnoted:
1. FamilyhistoryofupperGIcancer
2. Unintendedweightloss
3. GIbleeding,unexplainedanemia
4. Progressivedyspepsia,odynophagia
5. Persistentvomiting
6. Palpablemassorlymphadenopathy
7. Jaundice