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 BOF 24

 

   

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BOF: 24

A 17-year-old woman presents to outpatients with a three-month history of nausea and mild abdominal discomfort. She reports no weight loss or change in bowel habit. On examination there is mild abdominal distension but no organomegaly.

Blood results:

Hb 10.8 g/dL

MCV 97 fl

WCC 6.7x109/L

Plts 267x109/L

ESR 25 mm/hr

Na 137 mmol/L

K 4.1 mmol/L

Urea 2.3 mmol/L

Creat 46 umol/L

Calcium 2.41 mmol/L

Bilirubin 7 umol/L

ALT 13 IU

Alk Phos 226 IU

Albumin 32 g/L

What investigation would you perform next?

a) Hepatic ultrasound

b) Upper GI endoscopy

c) Beta HCG

d) Plain abdominal X-ray

e) Anti endomysial antibody

 

 

 

 

 

 

 

 

 

 

 

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