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 BOF 35

 

   

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BOF: 35

A 56-year-old male is admitted with a history of vomiting. There is a past history of peptic ulcer disease.

Investigations:

Hb 16.5 g/dL

WBC 10.7 x109/L

Platelets 380x 109/L

Urea 14.5 mmol/L

Sodium 140 mmol/L

Potassium 2.6 mmol/L

  pH   7.53

  pCO2 5.6  kPa

  pO2 12.2  kPa

Bicarbonate 36 mmol/L

Chloride 75 mmol/L

In this patient which one of the following investigations would you arrange in order to come to a diagnosis?

a)      Short synacthen test

b)      Chest X-ray

c)      MRI brain

d)      CT scan chest

e)      Upper GI endoscopy

 

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