Q:

A 48 year old man has intermittent left sided lower abdominal pain and feels generally unwell. He has lost his appetite and has lost weight. Temp=38.3C and he has BP=190/100mmHg. What is the single investigation most likely to lead to diagnosis?

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A 48 year old man has intermittent left sided lower abdominal pain and feels generally unwell. He has lost his appetite and has lost weight. Temp=38.3C and he has BP=190/100mmHg. What is the single investigation most likely to lead to diagnosis?


  1. Colonoscopy
  2. Endomysial antibodies
  3. Fasting serum glucose conc
  4. TFT
  5. US abdomen

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The key is E. US abdomen. This is wrong key. Correct key is A. Colonoscopy. [Probable diagnosis is diverticulitis and preferred investigation from given list is colonoscopy. Colonoscopy: It views the colon's interior to see the inflamed, infected pouches. Ultrasound images lack the detail of CT images and cannot evaluate the intestines as well as CT].

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