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 Best of Five 151

 

   

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BOF: 151

A 27-year-old Caucasian female presents with a long history of abdominal pain and loose motions. She also gives a history of recurrent mouth ulcers. Recently the pain has become more intense, she has begun to lose weight and has developed fever with night sweats and she also complains of a rash over her legs.

On examination she appears to have lost weight, she has clubbing and erythema nodosum. On examination of the abdomen a firm tender mass can be palpated in the right iliac fossa.

In this patient, which of the following investigations would help guide your subsequent management?

a)      Small bowel follow through

b)      Labeled white cell scan

c)      Colonoscopy

d)      Barium enema

e)      CT scan of the abdomen

 

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