Q:

A 2 year old with atrophy of the buttocks, distended abdomen with frequent offensive smelly stool. Choose the single most likely investigation?

waelhammad
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2022-10-30
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31. A 2 year old with atrophy of the buttocks, distended abdomen with frequent offensive smelly stool. Choose the single most likely investigation?

  1. Upper GI endoscopy
  2. Endomyseal/alpha glidin antibody
  3. Sweat test
  4. Colonscopy
  5. Stool culture
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waelhammad
2022-10-30
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The key is B. Endomyseal/alphagliadin antibody. [Atrophy of buttock due to fat malabsorption and distended abdomen (sometimes with everted umbilicus) with frequent offensive smelly stools are seen in coeliac disease. Hence endomyseal/alpha gliadin antibody should be done].

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