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 EMQ 18

 

   

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EMQ: 18

Endoscopy

a)      Gastroscopy with banding

b)      Gastroscopy with injection of adrenaline and heater probe coagulation

c)      Colonoscopy

d)      Flexible sigmoidoscopy

e)      Gastroscopy

f)        Enteroscopy

g)      Capsule endoscopy

h)      Gastroscopy with balloon dilatation

i)        ERCP

j)        Gastroscopy with placement of a stent

1) A 63-year-old female complains of feeling tired and breathless on exertion. There is no history of postmenopausal bleeding. Investigations show she has iron deficiency anaemia. She has had a gastroscopy, which has been reported as normal with normal distal duodenal biopsies

Which of the above would the patient require?

2) A 64-year-old male presents with iron deficiency anaemia. He eats a normal diet and eats red meat several times a week.

He has been investigated extensively with normal gastroscopy, colonoscopy, barium follow through and enteroscopy. Which investigation might you arrange next to try and determine the cause of his iron deficiency anaemia?

3) A 54-year-old alcoholic is admitted with haematemesis. On examination he is jaundiced, has palmar erythema, multiple spider naevi, gynaecomastia, reduced body hair and ascites. Which of the above is the patient likely to require?

4) A 60-year-old female who has been taking ibuprofen for joint pains is admitted with haematemesis and melaena. Her haemoglobin concentration is 6.5 g/dL.

Endoscopy shows a chronic duodenal ulcer with adherent clot.

Which of the above would the patient require?

5) A 62-year-old male who has long standing gastro-oesophageal reflux disease presents with dysphagia of several months duration. Endoscopy shows a benign stricture of the lower oesophagus

 Which of the above would the patient require?

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