A 26 year old male who is known to
have sickle cell anaemia presents with abdominal pain. He has not been on any
medication and he has not abused illicit drugs or alcohol.
On examination he is in pain, febrile,
pulse 110 beats per minute, BP 120/80 heart sounds were normal, lungs were
clear. On examination of his abdomen he was tender in the right hypochondrium,
there were no lumps palpable nor was there any organomegaly, bowel sounds were
Hb 8 g /dL
WBC 14 x109 /L
Platelets 450 x109 /L
Alkaline phosphatase 175 U/L
Bilirubin 58 Ámol/L
In this patient which one of the
following investigations would you arrange in order to reach a diagnosis?
Upper GI endoscopy
Abdominal ultrasound scan