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 EMQ 19

 

   

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EMQ: 19

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

 

Match the scenario given below to one of the procedures listed above

 

1) A 67-year-old male presents with jaundice.  He has no abdominal pain but he says his urine has become very dark and his stools have become pale and difficult to flush away. The ultrasound scan shows dilated bile ducts but the pancreatic region is not visualised.

2) A 72-year-old male presents with dysphagia and loss of weight. Endoscopy has shown an adenocarcinoma of the oesophagus and this has been confirmed by biopsy. CT scan has shown metastatic disease in the liver and lungs

3) A 26-year-old female presents with abdominal pain, loose motions and loss of weight.

On examination she has painful tender nodules over her shins and a tender mass in her right iliac fossa.

4) A 24-year-old male presents with diarrhoea of several weeks duration. On further questioning he admits to having loose stools for almost a year. At present he goes to the toilet about 10 times during the day and wakes up from sleep 3 times at night to go to the toilet. He passes very loose stools with blood and mucous.

5) A 60-year-old male presents with new onset of dyspepsia

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