A 63-year-old male presents
with a history of diarrhoea of a months duration. The motions are pale, bulky
and foul smelling and he says they are difficult to flush away. There is no
blood or mucous in the stools he has lost weight and feels tired. No history
of fever. He relates the onset of the illness to a holiday in Eastern Europe
There is no history of
significant disease in the past. He does not drink or smoke.
Clinically he looks like he has
lost weight but there are no other abnormalities.
In this patient which one of
the following tests would be likely to lead to a diagnosis?
a) CT scan of
e) OGD with
distal duodenal biopsy